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General NPI Number Information
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NPI Number | 1720700701
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Entity Type | Organization
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Legal Business Name | HUMANITY OUTREACH INC
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 14927 SORRENTO ST
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City | DETROIT
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State | MI
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Zip | 48227-3601
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Country | US
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Telephone | 248-327-0599
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Fax |
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Provider Business Mailing Address
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Address Line | 24613 HOPKINS ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48125-1618
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Country | US
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Telephone | 248-327-0599
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | KAMITA C BELL
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Credential | LLMSW
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Telephone | 248-327-0599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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