Active NPI
How- Substance Abuse Abuse Program
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1104440320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HOW- SUBSTANCE ABUSE ABUSE PROGRAM
- Practice address
- 8131 E Outer Dr
Detroit, MI 48213-1323 - Phone
- (248) 842-0428
- Fax
- (248) 850-7424
- NPI assigned
- Jun 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greory Franklin
- Title
- Owner
- Phone
- (248) 842-0428
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Pediatric Adolescent Medicine Physician | 2080A0000X |
Addresses
Primary practice location
8131 E Outer Dr
Detroit, MI 48213-1323
Mailing address
51762 Eva Dr
Macomb, MI 48042-4234
Phone (248) 842-0428
National Provider Directory
National Provider DirectoryLocations
8131 E Outer Dr
Detroit, MI 48213
Phone (248) 842-0428
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Child & Adolescent Psychiatry Physician
- Detroit, MI
- NPI 1992326052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594598400000",
"number": "1104440320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51762 EVA DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480424234",
"telephone_number": "248-842-0428",
"fax_number": "248-850-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8131 E OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482131323",
"telephone_number": "248-842-0428",
"fax_number": "248-850-7424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOW- SUBSTANCE ABUSE ABUSE PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-03",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A",
"authorized_official_last_name": "FRANKLIN",
"authorized_official_first_name": "GREORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-842-0428"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.