Ncadd-Impact Adolescent Health Center in Detroit - Substance Abuse Rehabilitation Facility
Ncadd-Impact Adolescent Health Center - NPI 1134341092
Ncadd-Impact Adolescent Health Center is a Substance Abuse Rehabilitation Facility in Detroit, Michigan. Ncadd-Impact Adolescent Health Center practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Ncadd-Impact Adolescent Health Center is 1134341092. The last update date is 2008-08-14.
Ncadd-Impact Adolescent Health Center's current location address is 5555 Conner St, Detroit, Michigan. You can contact this provider via phone number 3139218102 and fax number 3139214184. The mailing address for Ncadd-Impact Adolescent Health Center is 5555 Conner St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ncadd-Impact Adolescent Health Center |
|---|---|
| Address | 5555 Conner St, Detroit, Michigan |
| Phone Number | 3139218102 |
| Fax Number | 3139214184 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Mcglothian Denise Laverne |
| Credentials | FOADP |
| Telephone Number | 3139218102 |
NPI Number Detail
| NPI Number | 1134341092 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 5555 Conner St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482133448 |
| Phone Number | 3139218102 |
| Fax Number | 3139214184 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | C1820235935 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Ncadd-Impact Adolescent Health Center?
The Ncadd-Impact Adolescent Health Center has been issued the NPI (National Provider Identifier) 1134341092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ncadd-Impact Adolescent Health Center?
The Ncadd-Impact Adolescent Health Center is physically situated at 5555 Conner St, in the city of Detroit, state of MI, with the postal code 482133448.
What is Ncadd-Impact Adolescent Health Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ncadd-Impact Adolescent Health Center is Substance Abuse Rehabilitation Facility, and the taxonomy code that categorizes this field of expertise is 324500000X.
When did the Ncadd-Impact Adolescent Health Center receive its 1134341092?
The Ncadd-Impact Adolescent Health Center was issued its 1134341092 on 2007-05-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Ncadd-Impact Adolescent Health Center most recently updated or refreshed?
The details pertaining to the Ncadd-Impact Adolescent Health Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-14.
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