NPIMap

Organization Active NPI

Detroit Rescue Mission Ministries

  • Substance Abuse Rehabilitation Facility
  • Highland Park, MI
National Provider Identifier
1740313238
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
820317 Issued in MI
Legal business name
DETROIT RESCUE MISSION MINISTRIES
Practice address
13220 Woodward Ave
Highland Park, MI 48203-3610
Phone
(313) 868-1946
Fax
(313) 852-1631
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Chad Audi
Title
Chief Executive Officer
Phone
(313) 993-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 820317 MI Primary

Addresses

Primary practice location

13220 Woodward Ave
Highland Park, MI 48203-3610

Mailing address

150 Stimson St
Detroit, MI 48201-2410
Phone (313) 993-4700

Other identifiers 1

IdentifierTypeStateIssuer
3022440MedicaidMI

Other names 1

  • Christian Guidance Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1740313238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STIMSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012410",
            "telephone_number": "313-993-4700",
            "fax_number": "313-831-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033610",
            "telephone_number": "313-868-1946",
            "fax_number": "313-852-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT RESCUE MISSION MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "AUDI",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "313-993-4700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "820317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3022440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.