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TODD-PHILLIPS CHILDREN'S HOME NPI 1982859849


NPI Information

NPI: 1982859849
Provider Name: TODD-PHILLIPS CHILDREN'S HOME
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1151 TAYLOR ST UNIT 3A4A
DETROIT, MI
ZIP 48202
Phone: (313) 556-8030
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TODD-PHILLIPS CHILDREN'S HOME 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. TODD-PHILLIPS CHILDREN'S HOME NPI is 1982859849. The provider is registered as an organization entity type.

The provider's business location address is:

1151 TAYLOR ST UNIT 3A4A
DETROIT, MI
ZIP 48202-732
Phone: (313) 556-8030
Fax: (313) 556-8036

The provider's authorized official is Zelda Ree Williams .
The authorized official title is Executive Director and has the following contact phone number (313) 556-8030.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 11/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility823045MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1801-098 (CID)MEDICAIDMICHIGAN

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

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