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Organization Active NPI

Metro East Substance Abuse Treatment Corporation

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1396956306
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
821237 Issued in MI
Legal business name
METRO EAST SUBSTANCE ABUSE TREATMENT CORPORATION
Practice address
13929 Harper Ave
Detroit, MI 48213-3672
Phone
(313) 371-0055
Fax
(313) 371-1409
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Leslie Carroll
Title
Executive Director
Phone
(313) 371-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 821237 MI Primary

Addresses

Primary practice location

13929 Harper Ave
Detroit, MI 48213-3672

Mailing address

13929 Harper Ave
Detroit, MI 48213-3672
Phone (313) 371-0055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1396956306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13929 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133672",
            "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": "13929 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133672",
            "telephone_number": "313-371-0055",
            "fax_number": "313-371-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAST SUBSTANCE ABUSE TREATMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-371-0055"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "821237",
            "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 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.