Organization Active NPI

Tressa Williams Transitional Outreach Program

  • Voluntary or Charitable Agency
  • Detroit, MI
National Provider Identifier
1679718068
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
TRESSA WILLIAMS TRANSITIONAL OUTREACH PROGRAM
Practice address
12070 Yosemite St
Detroit, MI 48204-1468
Phone
(313) 350-9728
NPI assigned
Dec 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Tressa Lavern Williams, 01-28-08
Title
Owner
Phone
(313) 350-9728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X MI Primary

Addresses

Primary practice location

12070 Yosemite St
Detroit, MI 48204-1468

Mailing address

12070 Yosemite St
Detroit, MI 48204-1468
Phone (313) 350-9728

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1679718068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 YOSEMITE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041468",
            "telephone_number": "313-350-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 YOSEMITE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041468",
            "telephone_number": "313-350-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESSA WILLIAMS TRANSITIONAL OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-13",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRESSA",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-350-9728",
        "authorized_official_credential": "01-28-08"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.