Healthcare Provider Details
I. General information
NPI: 1588070288
Provider Name (Legal Business Name): REAL PEOPLE REAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2014
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2910 E GRIXDALE ST
DETROIT MI
48234-1547
US
IV. Provider business mailing address
2910 E GRIXDALE ST
DETROIT MI
48234-1547
US
V. Phone/Fax
- Phone: 313-315-0151
- Fax:
- Phone: 313-315-0151
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KATHRYN
SCOTT
Title or Position: CEO ADMIN.
Credential:
Phone: 586-961-3061