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NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE GREATER DETROIT NPI 1154477859


NPI Information

NPI: 1154477859
Provider Name: NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE GREATER DETROIT
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
16647 WYOMING
DETROIT, MI
ZIP 48221
Phone: (313) 342-3606
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NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE GREATER DETROIT is an addiction (substance use disorder) counselor in Detroit, MI. NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE GREATER DETROIT NPI is 1154477859. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16647 WYOMING
DETROIT, MI
ZIP 48221
Phone: (313) 342-3606
Fax: (313) 861-0413

The provider's authorized official is Linda Woodward .
The authorized official title is Clinical Director and has the following contact phone number (313) 342-3606.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 12/19/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)SA0821863MICHIGANNo
2101YA0400XCounselorAddiction (Substance Use Disorder)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1199150MEDICAIDMICHIGAN

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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