Provider Demographics
NPI:1811401771
Name:TRAVELERS AID SOCIETY METROPOLITAN DETROIT
Entity Type:Organization
Organization Name:TRAVELERS AID SOCIETY METROPOLITAN DETROIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSYLN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUGHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-962-6740
Mailing Address - Street 1:65 CADILLAC SQ STE 3000
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-2880
Mailing Address - Country:US
Mailing Address - Phone:313-962-6740
Mailing Address - Fax:
Practice Address - Street 1:65 CADILLAC SQ STE 3000
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-2880
Practice Address - Country:US
Practice Address - Phone:313-962-6740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management