SPECTRUM JUVENILE JUSTICE SERVICES NPI 1881578284

NPI Information

  • NPI: 1881578284
  • Provider Name: SPECTRUM JUVENILE JUSTICE SERVICES
  • Classification: Family Medicine - 207QA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 330 GLENDALE ST
    HIGHLAND PARK, MI
    ZIP 48203
  • Phone: (313) 868-8310

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NPI Details

SPECTRUM JUVENILE JUSTICE SERVICES is an adolescent medicine family medicine in Highland Park, MI. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. SPECTRUM JUVENILE JUSTICE SERVICES NPI is 1881578284. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

330 GLENDALE ST
HIGHLAND PARK, MI
ZIP 48203-277
Phone: (313) 868-8310

The provider's authorized official is Joshua Swaninger .
The authorized official title is President And Ceo and has the following contact phone number (734) 367-6765.

The enumeration date for this NPI number is 7/31/2025 and was last updated on 11/13/2025.

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
1163WG0000XRegistered NurseGeneral PracticeNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
4207QA0000XFamily MedicineAdolescent MedicineYes

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: 11/21/2025

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