GODDESS GREAT

Case Management

Active Organization
NPI: 1104435460

Practice Address

17169 E WARREN AVE
Detroit, MI 48224

Phone: (313) 856-9192

Specialties

Specialty Code Primary License
Clinic/Center - Multi-Specialty 261QM1300X No -
Case Management 251B00000X Yes -

Frequently Asked Questions

NPI 1104435460 is the National Provider Identifier for GODDESS GREAT, a Case Management provider located in Detroit, MI. This NPI was enumerated on July 23, 2020.

Quick Facts

NPI
1104435460
Type
Organization
Enumerated
Jul 23, 2020
Last Updated
Jan 20, 2022

Nearby Providers