Whalio Doctors

NPI 1447619697

Great Scott Homes INC

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

Practice location

Address
3202 Leslie St Detroit, Detroit, MI 48238-3308
Phone
(248) 910-9560
Fax
(248) 799-9210
Mailing address
PO Box 4207, Southfield, MI 48037-4207

Authorised official

Name
Nedesta Nwabueze
Title
President
Phone
(248) 910-9560

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence AF820307845 (MI)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Adult Day Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QA0600X

Registry record

NPI
1447619697
Entity type
Organization
NPI issued
16 Feb 2016
Record last updated
3 Feb 2017

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.