Provider Demographics
NPI:1376026088
Name:WRIP RESOURCE CENTER
Entity Type:Organization
Organization Name:WRIP RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUTHAN
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-646-6358
Mailing Address - Street 1:11000 W MCNICHOLS RD STE 312
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2393
Mailing Address - Country:US
Mailing Address - Phone:313-646-6577
Mailing Address - Fax:
Practice Address - Street 1:11000 W MCNICHOLS RD STE 312
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2393
Practice Address - Country:US
Practice Address - Phone:313-646-6577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-09
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable