NPIMap

Organization Active NPI

Wolverine Human Services

  • Children's Substance Abuse Rehabilitation Facility
  • Vassar, MI
National Provider Identifier
1891978441
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
WOLVERINE HUMAN SERVICES
Practice address
150 Enterprise Dr
Vassar, MI 48768-9584
Phone
(989) 823-3040
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Peter Gumbleton
Title
Vice President & Cfo
Phone
(313) 886-4259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X MI Primary

Addresses

Primary practice location

150 Enterprise Dr
Vassar, MI 48768-9584

Mailing address

17000 E Warren Ave
Detroit, MI 48224-2358
Phone (313) 886-4259

National Provider Directory

National Provider Directory
Tax ID family
Wolverine Human Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17000 E Warren Ave
Detroit, MI 48224

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1891978441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242358",
            "telephone_number": "313-886-4259",
            "fax_number": "313-886-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ENTERPRISE DR",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689584",
            "telephone_number": "989-823-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLVERINE HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "GUMBLETON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "313-886-4259"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vassar, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.