NPIMap

Organization Active NPI

Metro East Drug Treatment

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
National Provider Identifier
1851418602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
821237 Issued in MI
Legal business name
METRO EAST DRUG TREATMENT
Practice address
14667 Cedargrove St
Detroit, MI 48205-3609
Phone
(313) 371-0055
Fax
(313) 371-1409
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Delores ClarkNPI 1093923641
Title
Counselor
Phone
(313) 371-0055

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 821237 MI Primary

Addresses

Primary practice location

14667 Cedargrove St
Detroit, MI 48205-3609

Mailing address

14667 Cedargrove St
Detroit, MI 48205-3609
Phone (313) 371-0055

National Provider Directory

National Provider Directory
Tax ID family
Metro East Drug Treatment7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the 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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851418602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14667 CEDARGROVE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053609",
            "telephone_number": "313-371-0055",
            "fax_number": "313-371-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14667 CEDARGROVE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053609",
            "telephone_number": "313-371-0055",
            "fax_number": "313-371-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAST DRUG TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "313-371-0055"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "821237",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.