Soul Forward Sober Companions
NPI #1174374797 in Southfield, Michigan
Provider Information
- NPI Number
- 1174374797
- Entity Type
- Organization
- Organization Name
- Soul Forward Sober Companions
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 1, 2024
- Last Updated
- Feb 7, 2025
Practice Location
- Address
- 4000 TOWN CTR STE 1303
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-1410
- Phone
- (248) 932-4000
Authorized Official
- Name
- MR. CLAUDE GRACY JR.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (586) 339-2178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
| Case Manager/Care Coordinator |
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