Provider Demographics
NPI:1275197527
Name:VOLUNTEERS OF AMERICA MICHIGAN
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR OF SOCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ATCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-451-0372
Mailing Address - Street 1:21415 CIVIC CENTER DR STE 306
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3954
Mailing Address - Country:US
Mailing Address - Phone:313-451-0372
Mailing Address - Fax:
Practice Address - Street 1:3031 W GRAND BLVD STE 465
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-3017
Practice Address - Country:US
Practice Address - Phone:313-463-7065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health