Goddess Great
Goddess Great is a Case Management Agency in Detroit, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
17169 E Warren AveDetroit, MI 48224-2279
Phone: (313) 856-9192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|---|
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1104435460 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kymaletha Brown — Coordinator · (269) 414-5907 |
| NPI enumerated | July 23, 2020 |
| Last updated in NPPES | January 20, 2022 |
| Certification date | January 20, 2022 |
| Mailing address | 10728 Duprey St, Detroit, MI 48224-1295 |
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