Goodwill Industries of Greater Detroit

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GOODWILL INDUSTRIES OF GREATER DETROIT

Practice address

9622 Grand River Ave
Detroit, MI 48204-2138

Phone

(313) 931-0901

Fax

(313) 931-0904

NPI assigned

Mar 18, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Lorna G Utley

Title

President and Ceo

Phone

(313) 557-8787

Specialties & licenses 1

Addresses

Tax ID family

Goodwill Industries of Greater Detroit3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Goodwill Industries of Greater Detroit

  • Community/Behavioral Health Agency
  • Westland, MI
  • NPI 1063711877
  NPD tax ID
• Goodwill Industries of Greater Detroit

  • Case Manager/Care Coordinator
  • Detroit, MI
  • NPI 1548358245
  NPD tax ID

Locations

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1841599669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082962",
            "telephone_number": "313-964-3900",
            "fax_number": "313-964-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9622 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042138",
            "telephone_number": "313-931-0901",
            "fax_number": "313-931-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF GREATER DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "313-557-8787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily D Goodman, LLPC
• Ezra Rae Goodrich, MD
• Rachel Goodrum
• Aldeana Goodspeed, CADC-M, CPS-M, CPRC
• Goodwill Industries of Greater Detroit
• Jill Patrice Goodwin-Smith, RN
• Geogette J Goodwin, RN
• Gerald Goodwin
• Meisha Renee Goodwin
• Juanita Gool, LLMSW

• 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 Mar 18, 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.