INSTITUTE OF SUPPORTIVE SERVICES INC. NPI 1346613403

NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
• Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a (HCPCS:G2076)
• Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)
• Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for (HCPCS:G2077)

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: