NARDIN PARK RECOVERY CENTERINC. NPI 1033251269

NPI Information

NPI: 1033251269
Provider Name: NARDIN PARK RECOVERY CENTER,INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 23D2056909

Address:
9605 GRAND RIVER AVE
DETROIT, MI
ZIP 48204
Phone: (313) 834-5930
Get Directions

NARDIN PARK RECOVERY CENTER,INC. is a methadone clinic center in Detroit, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. NARDIN PARK RECOVERY CENTER,INC. NPI is 1033251269. The provider is registered as an organization entity type.

The provider's business location address is:

9605 GRAND RIVER AVE
DETROIT, MI
ZIP 48204-139
Phone: (313) 834-5930
Fax: (313) 834-4541

The provider's authorized official is Paul Scott .
The authorized official title is Associate Director and has the following contact phone number (313) 834-5930.

The CLIA number assigned to this NPI record is 23D2056909 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 1/22/2008.

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	261QM2800X	Clinic/Center	Methadone	820198	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	820198	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: 11/14/2023

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