Allen Foster Redeemer Outreach

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801087359 Issued in MI

Legal business name

ALLEN FOSTER REDEEMER OUTREACH

Practice address

18478 Wyoming Ave
Detroit, MI 48221

Phone

(313) 850-7818

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Evon Nicole Allen, LLMSW

Title

Cheif Executive Officer

Phone

(313) 850-7818

Specialties & licenses 1

Addresses

Other names 1

• Faith & Blessing's Mom & Baby Other name

Locations

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1619262631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18478 WYOMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212034",
            "telephone_number": "313-850-7818",
            "fax_number": "313-255-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18478 WYOMING AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-850-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN FOSTER REDEEMER OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "EVON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "313-850-7818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801087359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith & Blessing's Mom & Baby",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Iqbal Allarakhia, MD
• Raymond D. Allard, M.D.
• Victoria B Allard, MD
• David John Allasio, LMSW
• Linda Allemon, CRNA
• Grace Allen Gullett, RN
• Aramis Adelle Allen-Klerkx, LLC, NCC
• Starr Allen-Pettway, LMSW
• Anajshare Marshe Allen
• Angela Michele Allen

• 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 Jun 17, 2011; 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.