NPI 1568040798
Your Goodvillage Collective
Practice location
- Address
- 12811 Hemingway, Redford, MI 48239-4606
- Phone
- (888) 357-2366
- Fax
- (888) 357-2366
Authorised official
- Name
- Anjanette Davenport Hatter
- Title
- Founding Executive Director
- Phone
- (313) 510-7003
Registered specialties (3)
Public Health or Welfare Agency
Primary
Case Management Agency
Community/Behavioral Health Agency
Registry record
- NPI
- 1568040798
- Entity type
- Organization
- NPI issued
- 30 Mar 2021
- Record last updated
- 6 Apr 2021
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.