Northwest Industrail Drug Rehabilitation Clinic

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

NORTHWEST INDUSTRAIL DRUG REHABILITATION CLINIC

Practice address

9600 Dexter Ave
Detroit, MI 48206-1816

Phone

(313) 894-4879

Fax

(313) 894-6312

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carl Fowler, MD

Title

Owner

Phone

(313) 894-4879

Specialties & licenses 1

Addresses

Tax ID family

Northwest Industrail Drug Rehabilitation Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Northwest Drug Rehabilitation Inc

  • Methadone Clinic
  • Detroit, MI
  • NPI 1679873798
  NPD tax ID
• Northwest Industrial Drug Rehabilitation Clinic

  • Methadone Clinic
  • Detroit, MI
  • NPI 1821112103
  NPD tax ID

Locations

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1275833709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061816",
            "telephone_number": "313-894-4879",
            "fax_number": "313-894-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061816",
            "telephone_number": "313-894-4879",
            "fax_number": "313-894-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDUSTRAIL DRUG REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-894-4879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Detroit Dialysis Center, LLC
• Northwest Drug Rehabilitation Inc
• Northwest Eye Foundation
• Northwest Eye Foundation
• Northwest Housecall Doctor & Nurse Practitioners
• Northwest Industrial and Medical Services PC
• Northwest Industrial Drug Rehabilitation Clinic
• Northwest Mi Opco LLC
• Northwest Partners, LLC
• Northwest Surgical & Medical Comprehensive Services PC

• All providers in Detroit, MI
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.