NPIMap

Organization Active NPI

Metro East Drugtreatment Corporation

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1023229077
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
821237 Issued in MI
Legal business name
METRO EAST DRUGTREATMENT CORPORATION
Practice address
13929 Harper Ave
Detroit, MI 48213-3672
Phone
(313) 371-0055
Fax
(313) 371-1409
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daborah Carroll
Title
Program Sponsor
Phone
(313) 371-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 821237 MI Primary

Addresses

Primary practice location

13929 Harper Ave
Detroit, MI 48213-3672

Mailing address

13929 Harper Ave
Detroit, MI 48213-3672
Phone (313) 371-0055

Other names 2

  • Metro East Drug Treatment Corporation Doing business as
  • Metro East Drug Treatment Coporation Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Opioid treatment program
Medicare-enrolled since Apr 7, 2025

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200214000098 MI Part B Supplier - Opioid Treatment Program (Otp) 9133555964 Practice locations: Detroit, MI

National Provider Directory

National Provider Directory
Tax ID family
Metro East Drug Treatment7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13929 Harper Ave
Detroit, MI 48213
Phone (313) 271-0055

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1023229077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13929 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133672",
            "telephone_number": "313-371-0055",
            "fax_number": "313-371-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13929 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133672",
            "telephone_number": "313-371-0055",
            "fax_number": "313-371-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAST DRUGTREATMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DABORAH",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "313-371-0055"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "821237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro East Drug Treatment Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro East Drug Treatment Coporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.