First Step Transitional Housing

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801064874 Issued in MI

Legal business name

FIRST STEP TRANSITIONAL HOUSING

Practice address

79 Rhode Island St
Highland Park, MI 48203-3356

Phone

(313) 355-7345

Fax

(313) 255-3947

NPI assigned

Jan 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Blaine Burks, LMSW

Title

Clinical Director

Phone

(313) 355-7345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1174860134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RHODE ISLAND ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033356",
            "telephone_number": "313-355-7345",
            "fax_number": "313-255-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 RHODE ISLAND ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033356",
            "telephone_number": "313-355-7345",
            "fax_number": "313-255-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP TRANSITIONAL HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-355-7345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801064874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Highland Park, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.