NPIMap

Organization Active NPI

Metro East Drug Treatment

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1669592036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8210055 Issued in MI
Legal business name
METRO EAST DRUG TREATMENT
Practice address
2175 Chalmers St
Detroit, MI 48215-2601
Phone
(313) 371-7770
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
Bose Shabazz
Title
Counselor
Phone
(313) 371-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8210055 MI Primary

Addresses

Primary practice location

2175 Chalmers St
Detroit, MI 48215-2601

Mailing address

2175 Chalmers St
Detroit, MI 48215-2601
Phone (313) 371-7770

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.

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": "1669592036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 CHALMERS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152601",
            "telephone_number": "313-371-7770",
            "fax_number": "313-371-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CHALMERS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152601",
            "telephone_number": "313-371-7770",
            "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": "SHABAZZ",
        "authorized_official_first_name": "BOSE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "313-371-7770"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "8210055",
            "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.