Provider Demographics
NPI:1831582402
Name:CARING HEARTS ADULT DAY CARE AND THERAPEUTIC CLINIC
Entity type:Organization
Organization Name:CARING HEARTS ADULT DAY CARE AND THERAPEUTIC CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:LA'TRIS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-978-2707
Mailing Address - Street 1:10155 PASADENA AVE
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-2168
Mailing Address - Country:US
Mailing Address - Phone:313-978-2707
Mailing Address - Fax:
Practice Address - Street 1:10155 PASADENA AVE
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-2168
Practice Address - Country:US
Practice Address - Phone:313-978-2707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty