Provider Demographics
NPI:1134477284
Name:TOGETHER WE RE-ESTBLISH UNITY SAFETY & TOGETHERNESS INC
Entity Type:Organization
Organization Name:TOGETHER WE RE-ESTBLISH UNITY SAFETY & TOGETHERNESS INC
Other - Org Name:TRUSING HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:LEE-GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-449-7081
Mailing Address - Street 1:3415 BRIMFIELD DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2944
Mailing Address - Country:US
Mailing Address - Phone:810-742-7230
Mailing Address - Fax:
Practice Address - Street 1:3415 BRIMFIELD DRIVE
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503
Practice Address - Country:US
Practice Address - Phone:810-742-7230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
MIAS250292392320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness