Graden Provision of Promise Outreach Org
NPI #1164795449 in Saginaw, Michigan
Provider Information
- NPI Number
- 1164795449
- Entity Type
- Organization
- Organization Name
- Graden Provision of Promise Outreach Org
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 16, 2012
- Last Updated
- Feb 16, 2012
Practice Location
Authorized Official
- Name
- MR. WILLIE WALTER SMITH JR.
- Title
- CEO
- Phone
- (989) 753-5477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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