SELF HELP ADDICTION REHABILITATION (SHAR) NPI 1851457451

NPI Information

NPI: 1851457451
Provider Name: SELF HELP ADDICTION REHABILITATION (SHAR)
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1852 W GRAND BLVD
DETROIT, MI
ZIP 48208
Phone: (313) 894-8444
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SELF HELP ADDICTION REHABILITATION (SHAR) is a substance abuse rehabilitation facility in Detroit, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SELF HELP ADDICTION REHABILITATION (SHAR) NPI is 1851457451. The provider is registered as an organization entity type.

The provider's business location address is:

1852 W GRAND BLVD
DETROIT, MI
ZIP 48208-006
Phone: (313) 894-8444
Fax: (313) 894-2712

The provider's authorized official is Curtis Jennings .
The authorized official title is Interim Ceo and has the following contact phone number 13138942410.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		820704	MICHIGAN	No
2	324500000X	Substance Abuse Rehabilitation Facility		820174	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	820174	OTHER	MICHIGAN	SUBSTANCE ABUSE PROGRAM
2	820704	OTHER	MICHIGAN	SUBSTANCE ABUSE PROGRAM

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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