INSTITUTE OF SUPPORTIVE SERVICES INC. NPI 1346613403

NPI Information

NPI: 1346613403
Provider Name: INSTITUTE OF SUPPORTIVE SERVICES, INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 23D2164349

Address:
19940 CONANT ST STE ABC
DETROIT, MI
ZIP 48234
Phone: (313) 733-4528
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INSTITUTE OF SUPPORTIVE SERVICES, 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. INSTITUTE OF SUPPORTIVE SERVICES, INC. NPI is 1346613403. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19940 CONANT ST STE ABC
DETROIT, MI
ZIP 48234-494
Phone: (313) 733-4528
Fax: (313) 733-4532

The provider's authorized official is Marvin Arnold .
The authorized official title is Executive Director and has the following contact phone number (313) 733-4528.

The CLIA number assigned to this NPI record is 23D2164349 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 6/16/2018.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	251B00000X	Case Management		SA0823269	MICHIGAN	No
3	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	SA0823269	MICHIGAN	No
4	261QM2800X	Clinic/Center	Methadone			Yes

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

NPI Synchronization or Removal

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