IndividualActive
Brandon Green, BS
NPI 1811645625 · Case Management Agency · Detroit, MI
Provider details
- NPI number
- 1811645625
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Credential
- BS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
11105 E Jefferson Ave
Detroit, MI 48214-3317
Phone: (248) 794-2576
Approximate (ZIP-level) locationGet directions
Mailing address
11105 E Jefferson Ave
Detroit, MI 48214-3317
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2022-03-11
- Certified
- 2022-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.