NPIMap

Organization Active NPI

Continuous Independence Program

  • Mental Illness Community Based Residential Treatment Facility
  • Pontiac, MI
National Provider Identifier
1780980318
Registry record updated Jan 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
6401011745 Issued in MI
Legal business name
CONTINUOUS INDEPENDENCE PROGRAM
Practice address
28 N Francis Ave
Pontiac, MI 48342-2721
Phone
(248) 499-8022
NPI assigned
Jan 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2011

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

Authorized official

Name
Mr. David Coleman, LLPCNPI 1205266582
Title
Clinical Director
Phone
(313) 929-3422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 6401011745 MI Primary
Substance Abuse Rehabilitation Facility 324500000X 6401011745 MI

Addresses

Primary practice location

28 N Francis Ave
Pontiac, MI 48342-2721

Mailing address

28 N Francis Ave
Pontiac, MI 48342-2721
Phone (248) 499-8022

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1296345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296345600000",
    "number": "1780980318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N FRANCIS AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422721",
            "telephone_number": "248-499-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N FRANCIS AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422721",
            "telephone_number": "248-499-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUOUS INDEPENDENCE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-30",
        "last_updated": "2011-01-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-929-3422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "6401011745",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "6401011745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2011; 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.