Provider Demographics
NPI:1235601170
Name:THE DETROIT ASSOCIATION OF BLACK ORGANIZATIONS (DABO), INC.
Entity Type:Organization
Organization Name:THE DETROIT ASSOCIATION OF BLACK ORGANIZATIONS (DABO), INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HORACE
Authorized Official - Middle Name:LINDSEY
Authorized Official - Last Name:SHEFFIELD
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:313-491-0003
Mailing Address - Street 1:12048 GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-1836
Mailing Address - Country:US
Mailing Address - Phone:313-491-0003
Mailing Address - Fax:313-491-0252
Practice Address - Street 1:12048 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-1836
Practice Address - Country:US
Practice Address - Phone:313-491-0003
Practice Address - Fax:313-491-0252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency