Active NPI
Jabez Recovery Management Services
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Detroit, MI
National Provider Identifier
1467009258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- JABEZ RECOVERY MANAGEMENT SERVICES
- Practice address
- 2755 Collingwood St
Detroit, MI 48206-1476 - Phone
- (248) 935-7722
- NPI assigned
- Aug 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zakiya Lucas Aniapam, LLMSW
- Title
- Executive Assistant
- Phone
- (248) 935-7722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
2755 Collingwood St
Detroit, MI 48206-1476
Mailing address
2755 Collingwood St
Detroit, MI 48206-1476
Phone (248) 935-7722
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566777600000",
"number": "1467009258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 COLLINGWOOD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482061476",
"telephone_number": "248-935-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 COLLINGWOOD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482061476",
"telephone_number": "248-935-7722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JABEZ RECOVERY MANAGEMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A",
"authorized_official_last_name": "ANIAPAM",
"authorized_official_first_name": "ZAKIYA",
"authorized_official_middle_name": "LUCAS",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "248-935-7722",
"authorized_official_credential": "LLMSW"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"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 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.