Southern Christian Leadership Conference

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0Q24522 Issued in MI

Legal business name

SOUTHERN CHRISTIAN LEADERSHIP CONFERENCE

Practice address

5050 Joy Rd
Detroit, MI 48204-2263

Phone

(313) 894-3950

Fax

(313) 894-1729

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Claud R Young, DO

Title

President

Phone

(313) 894-3950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720104433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 14TH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062425",
            "telephone_number": "313-894-3950",
            "fax_number": "313-894-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042263",
            "telephone_number": "313-894-3950",
            "fax_number": "313-894-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CHRISTIAN LEADERSHIP CONFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CLAUD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-894-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "0Q24522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soulstead Valorgrid Inc
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• Deepa Soundara Rajan
• Ashley Soutar, M.S., BCBA, LBA
• Southeastern Michigan Services, Inc.
• Southern Style Care
• Barbara Jean Southern
• Corryn Southers
• Southfield Medical Supply LLC
• Southwest Counseling Solutions

• Primary Care Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.