Strong Youth Initiative Michigan LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STRONG YOUTH INITIATIVE MICHIGAN LLC

Practice address

2550 W Grand Blvd
Suite 106
Detroit, MI 48208-1239

Phone

(678) 362-9955

Fax

(866) 379-8708

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert Ashford

Title

Ceo

Phone

(804) 267-1899

Specialties & licenses 2

Addresses

Other names 1

• Strong Foundation Youth Initiative LLC Other name

Locations

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1669614061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W GRAND BLVD",
            "address_2": "SUITE 106",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081239",
            "telephone_number": "678-362-9955",
            "fax_number": "866-379-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W GRAND BLVD",
            "address_2": "SUITE 106",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081239",
            "telephone_number": "678-362-9955",
            "fax_number": "866-379-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG YOUTH INITIATIVE MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-267-1899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strong Foundation Youth Initiative LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Claire Stroker, MD
• Eric Joesph Stromberg
• Nicole Stromberg, M.D.
• Patricia Anne Strome
• Brenda Strong Sharpe
• David Wesley Strong, M.D., PH.D.
• Dejuana Michelle Strong, P.A.
• Joyous SH'Cora Strong, RN
• Ramona Marie Strong, RN
• Tracy A. Strong, LLPC

• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.