NPI 1336332972

Urban Enterprise

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Detroit, MI

Practice location

Address: 17558 Monica St, Detroit, MI 48221-2635
Phone: (313) 345-3489

Authorised official

Name: Valnedra Jamille Shropshire
Title: Licensee
Phone: (313) 549-8546

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Michigan →

Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Michigan →

Registry record

NPI: 1336332972
Entity type: Organization
NPI issued: 27 Aug 2007
Record last updated: 27 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.