The Demarco Project

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE DEMARCO PROJECT

Practice address

100 Riverfront Dr FL 3
Detroit, MI 48226-4500

Phone

(586) 322-6969

NPI assigned

Sep 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kim Clark

Title

Presdient/Ceo

Phone

(586) 322-0397

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1609350677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 ROCHESTER RD APT 105",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734100",
            "telephone_number": "586-322-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVERFRONT DR FL 3",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264500",
            "telephone_number": "586-322-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEMARCO PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESDIENT/CEO",
        "authorized_official_telephone_number": "586-322-0397",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.