Metropolitan Agency for Retarded

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

METROPOLITAN AGENCY FOR RETARDED

Practice address

65 Cadillac SQ
Suite 2933
Detroit, MI 48226-2844

Phone

(313) 965-6655

Fax

(313) 965-3976

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Edward Haynes, LMSW

Title

Director of Clincial Services

Phone

(313) 965-6655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144424680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CADILLAC SQ",
            "address_2": "SUITE 2933",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262844",
            "telephone_number": "313-965-6655",
            "fax_number": "313-965-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CADILLAC SQ",
            "address_2": "SUITE 2933",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262844",
            "telephone_number": "313-965-6655",
            "fax_number": "313-965-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN AGENCY FOR RETARDED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF CLINCIAL SERVICES",
        "authorized_official_telephone_number": "313-965-6655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.