BLACK ROCK RECOVERY LLC NPI 1417589086

NPI Information

NPI: 1417589086
Provider Name: BLACK ROCK RECOVERY, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
25235 ORCHARD LAKE RD
FARMINGTON HILLS, MI
ZIP 48336
Phone: (248) 252-6192
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BLACK ROCK RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Farmington Hills, MI. BLACK ROCK RECOVERY, LLC NPI is 1417589086. The provider is registered as an organization entity type.

The provider's business location address is:

25235 ORCHARD LAKE RD
FARMINGTON HILLS, MI
ZIP 48336-233
Phone: (248) 252-6192

The provider's authorized official is Eni V Smith .
The authorized official title is Partner and has the following contact phone number (248) 252-6192.

The enumeration date for this NPI number is 2/11/2020 and was last updated on 2/14/2020.

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	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes
2	276400000X	Rehabilitation, Substance Use Disorder Unit		No
3	324500000X	Substance Abuse Rehabilitation Facility		No

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: 4/28/2024

NPI Synchronization or Removal

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