NPIMap

Organization Active NPI

Abundant Community Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1770021537
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0823182 Issued in MI
Legal business name
ABUNDANT COMMUNITY RECOVERY SERVICES
Practice address
1670 Oakman Blvd
Detroit, MI 48238-2792
Phone
(313) 924-8285
NPI assigned
Feb 1, 2017
Last updated
Feb 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Darryl Dewberry, MSW,CADC
Title
Ceo
Phone
(313) 924-8284

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SA0823182 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X SA0823182 MI

Addresses

Primary practice location

1670 Oakman Blvd
Detroit, MI 48238-2792

Mailing address

20102 Harper Ave
Harper Woods, MI 48225-1712
Phone (313) 924-8284

National Provider Directory

National Provider Directory

Locations

20102 Harper Ave
Harper Woods, MI 48225
Phone (313) 458-8031

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1770021537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20102 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251712",
            "telephone_number": "313-924-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382792",
            "telephone_number": "313-924-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT COMMUNITY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "DEWBERRY",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-924-8284",
        "authorized_official_credential": "MSW,CADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0823182",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "SA0823182",
            "primary": false
        }
    ],
    "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 Feb 1, 2017; 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.