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DERRICK COMMUNITY DEVELOPMENT & HUMAN SERVICES NPI 1790018489


NPI Information

NPI: 1790018489
Provider Name: DERRICK COMMUNITY DEVELOPMENT & HUMAN SERVICES

Doing Business As: DCDHS

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
5010 31ST ST
DETROIT, MI
ZIP 48210
Phone: (313) 915-2644
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DERRICK COMMUNITY DEVELOPMENT & HUMAN SERVICES is a residential treatment facility, intellectual and/or developmental disabilities in Detroit, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. DERRICK COMMUNITY DEVELOPMENT & HUMAN SERVICES NPI is 1790018489. The provider is registered as an organization entity type.
The provider Is Doing Business As Dcdhs.

The provider's business location address is:

5010 31ST ST
DETROIT, MI
ZIP 48210-537
Phone: (313) 915-2644

The provider's authorized official is Cassandra L Derrick .
The authorized official title is President, Ceo and has the following contact phone number (313) 915-2644.

The enumeration date for this NPI number is 9/12/2009 and was last updated on 1/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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