NEW LIGHT RECOVERY CENTER NPI 1134550528

NPI Information

NPI: 1134550528
Provider Name: NEW LIGHT RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
300 W MCNICHOLS RD
DETROIT, MI
ZIP 48203
Phone: (313) 867-8015
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NEW LIGHT RECOVERY CENTER is a rehabilitation and substance use disorder clinic center in Detroit, MI. NEW LIGHT RECOVERY CENTER NPI is 1134550528. The provider is registered as an organization entity type.

The provider's business location address is:

300 W MCNICHOLS RD
DETROIT, MI
ZIP 48203-703
Phone: (313) 867-8015
Fax: (313) 867-8040

The provider's authorized official is Marvin Arnold .
The authorized official title is Program Manager and has the following contact phone number (313) 867-8015.

The enumeration date for this NPI number is 12/10/2013 and was last updated on 12/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	821624	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1437236940	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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