NPIMap

Organization Active NPI

Detroit Rescue Mission Ministries

  • Children's Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1437536802
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
820317 Issued in MI
Legal business name
DETROIT RESCUE MISSION MINISTRIES
Practice address
19211 Anglin St
Detroit, MI 48234-1460
Phone
(313) 263-0077
Fax
(313) 305-5007
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Ms. London Wilson, M.S.W
Title
Therapist
Phone
(313) 263-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 820317 MI Primary

Addresses

Primary practice location

19211 Anglin St
Detroit, MI 48234-1460

Mailing address

19211 Anglin St
Detroit, MI 48234-1460
Phone (313) 263-0077

Other names 1

  • Christian Guidance Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Detroit Rescue Mission Ministry7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1437536802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19211 ANGLIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341460",
            "telephone_number": "313-263-0077",
            "fax_number": "313-305-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19211 ANGLIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341460",
            "telephone_number": "313-263-0077",
            "fax_number": "313-305-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT RESCUE MISSION MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LONDON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "313-263-0077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MI",
            "license": "820317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 5, 2015; 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.