NPIMap

Organization Active NPI

Metro East Drug Treatment

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1366562704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
821005 Issued in MI
Legal business name
METRO EAST DRUG TREATMENT
Practice address
10771 Somerset Ave
Detroit, MI 48224-1733
Phone
(313) 371-0055
Fax
(313) 371-1409
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yolanda Moore, LPNNPI 1245441278
Title
Nurse
Phone
(313) 371-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 821005 MI Primary

Addresses

Primary practice location

10771 Somerset Ave
Detroit, MI 48224-1733

Mailing address

10771 Somerset Ave
Detroit, MI 48224-1733
Phone (313) 371-0055

National Provider Directory

National Provider Directory
Tax ID family
Metro East Drug Treatment5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366562704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10771 SOMERSET AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241733",
            "telephone_number": "313-371-0055",
            "fax_number": "313-371-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10771 SOMERSET AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241733",
            "telephone_number": "313-371-0055",
            "fax_number": "313-371-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAST DRUG TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "313-371-0055",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "821005",
            "primary": true
        }
    ],
    "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 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.