Adolescence in Motion

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

ADOLESCENCE IN MOTION

Practice address

237 N Old Woodward Ave Ste 5
Birmingham, MI 48009-5305

Phone

(248) 723-7152

NPI assigned

Mar 7, 2012

Last updated

Mar 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jehan Crump-Gibson

Title

Vice President

Phone

(313) 205-3295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1063786168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 N OLD WOODWARD AVE STE 5",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N OLD WOODWARD AVE STE 5",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095305",
            "telephone_number": "248-723-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENCE IN MOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "CRUMP-GIBSON",
        "authorized_official_first_name": "JEHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "313-205-3295"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.