Provider Demographics
NPI:1710257282
Name:NARDLY HUMAN SERVICES, INCORPORATED
Entity Type:Organization
Organization Name:NARDLY HUMAN SERVICES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:IKE
Authorized Official - Last Name:ONWUEMELIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LMSW, CAADC
Authorized Official - Phone:313-270-2922
Mailing Address - Street 1:15800 W MCNICHOLS RD
Mailing Address - Street 2:SUITE 223
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3566
Mailing Address - Country:US
Mailing Address - Phone:313-270-2922
Mailing Address - Fax:313-270-2955
Practice Address - Street 1:15800 W MCNICHOLS RD
Practice Address - Street 2:SUITE 223
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3566
Practice Address - Country:US
Practice Address - Phone:313-270-2922
Practice Address - Fax:313-270-2955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI823052251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health