Aaric Care Outpatient Program

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

823200 Issued in MI

Legal business name

AARIC CARE OUTPATIENT PROGRAM

Practice address

17830 E Warren Ave
Detroit, MI 48224-1332

Phone

(313) 784-5348

NPI assigned

Jun 20, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Zipporah K Bolar, LLPC

Title

Program Director

Phone

(313) 784-5348

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1386083541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17830 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241332",
            "telephone_number": "313-784-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17830 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241332",
            "telephone_number": "313-784-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARIC CARE OUTPATIENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "BOLAR",
        "authorized_official_first_name": "ZIPPORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "313-784-5348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "823200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.