Organization Name: | CENTRIA HEALTH CARE |
NPI Number: | 1093105900 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CASSANDRA LAYVETTE RODGERS (ABA) |
Mailing Address: | 19104 Elkhart St 19104 Elkhart Harper Woods |
State: | MI US |
Postal Code: | 482252108 |
Phone Number: | 3136858733 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2015 |
NPI Last Update Date: | 01/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |