Provider Demographics
NPI:1245715689
Name:LAHC: LEADERS ADVANCING AND HELPING COMMUNITIES
Entity type:Organization
Organization Name:LAHC: LEADERS ADVANCING AND HELPING COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WASSIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHFOUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-960-4007
Mailing Address - Street 1:835 MASON ST STE A160
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2252
Mailing Address - Country:US
Mailing Address - Phone:888-315-5242
Mailing Address - Fax:
Practice Address - Street 1:835 MASON ST STE A160
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2252
Practice Address - Country:US
Practice Address - Phone:888-315-5242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local