New Light Recovery Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

821624 Issued in MI

Legal business name

NEW LIGHT RECOVERY CENTER, INC.

Practice address

300 W McNichols Rd
Detroit, MI 48203-2703

Phone

(313) 867-8015

Fax

(313) 867-8040

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Calland Jr., CCS

Title

Clinical Supervisor

Phone

(313) 867-8015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1689088767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 AGNES ST",
            "address_2": "APT. 16",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143962",
            "telephone_number": "313-867-8015",
            "fax_number": "313-867-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032703",
            "telephone_number": "313-867-8015",
            "fax_number": "313-867-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIGHT RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "CALLAND",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "313-867-8015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CCS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "821624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Light Baptist Church Nursing Home, Inc.
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• New Light Recovery Center
• New Light Recovery Center
• New Light Recovery Center, Inc.
• New Light Recovery Center, Inc.
• New Metro Pharmacy
• New Milestone Homes
• New Mission Transitional Housing
• New Mo-Town Pharmacy Inc

• Substance Abuse Rehabilitation Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.