Provider Demographics
NPI:1871318188
Name:OUR HOUSE
Entity type:Organization
Organization Name:OUR HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN-MOTSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-274-9544
Mailing Address - Street 1:111 S WALLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-4644
Mailing Address - Country:US
Mailing Address - Phone:734-547-5519
Mailing Address - Fax:
Practice Address - Street 1:111 S WALLACE BLVD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-4644
Practice Address - Country:US
Practice Address - Phone:734-547-5519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health