DETROIT RECOVERY PROJECT (NPI# 1134389422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134389422 |
| Entity Type | Organization |
| Organization Name | DETROIT RECOVERY PROJECT |
| Practice Address |
211 Glendale St Highland Park MI 48203-3231 |
| Practice Telephone | 3138680721 |
| Practice Fax Number | 3138680306 |
| Mailing Telephone | 3138680721 |
| Mailing Fax Number | 3138680306 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | MR. FRED WILLIAMS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3138680721 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1225274749 | Detroit Recovery Project | Community/Behavioral Health | 18954 James Couzens Fwy, Detroit, MI 48235-2516 | 2009-01-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DETROIT RECOVERY PROJECT | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 |
| Street Address |
211 GLENDALE ST |
| City | HIGHLAND PARK |
| State | MI |
| Zip Code | 48203-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083747042 | Pamela Elaine Alexander | Counselor | 211 Glendale St, Highland Park, MI 48203-3231 | 2007-03-13 |
| 1699032185 | Patricia Aziza-jendayi Wells | Nurse Practitioner | 211 Glendale St, Highland Park, MI 48203-3231 | 2012-04-20 |
| 1801120779 | Roderick O. Jackson | Counselor | 211 Glendale St, Highland Park, MI 48203-3231 | 2009-09-25 |
| 1255564407 | Preferred Medical Professionals, P.C. | Family Medicine | 211 Glendale St, Suite 323, Highland Park, MI 48203-3231 | 2009-09-03 |
| 1497986988 | Irita V Townes | Counselor | 211 Glendale St, Highland Park, MI 48203-3231 | 2009-07-31 |
| 1770746901 | Sandy Arnold Jr. | Counselor | 211 Glendale St, Highland Park, MI 48203-3231 | 2008-07-08 |
| 1396907556 | Michael Lewis Napoleon | Counselor | 211 Glendale St, Highland Park, MI 48203-3231 | 2008-06-30 |
| 1457511651 | Wendy Marcella Hershey | Counselor | 211 Glendale St, Highland Park, MI 48203-3231 | 2008-06-11 |
| 1821261348 | Albert Alan Gilbert | Counselor | 211 Glendale St, Ste 100, Highland Park, MI 48203-3231 | 2008-04-04 |
| 1356540488 | Kurtis James Lamarr | Social Worker | 211 Glendale St, Highland Park, MI 48203-3231 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750833166 | Visions House | Substance Abuse Rehabilitation Facility | 182 Farrand Park, Highland Park, MI 48203-3354 | 2016-11-02 |
| 1023225539 | Elmhurst Home, Inc | Substance Abuse Rehabilitation Facility | 1981 W Mcnichols Rd, Highland Park, MI 48203-4204 | 2007-05-16 |
| 1740313238 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-13 |
| 1174919211 | Rainbow | Substance Abuse Rehabilitation Facility | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2015-04-15 |
| 1043604994 | Olivia Mensah | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2015-03-27 |
| 1598167686 | Naomi's Nest | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-19 |
| 1083016356 | Elmhurst | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-18 |
| 1700287612 | Naomi Nest | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-10 |
| 1831508415 | Tahlia Wilson | Substance Abuse Rehabilitation Facility | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2014-08-07 |
| 1437448818 | Christian Guidance Center | Substance Abuse Rehabilitation Facility | 91 Glendale St, Highland Park, MI 48203-3274 | 2011-04-06 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 48203 |
Please comment or provide details below to improve the information on DETROIT RECOVERY PROJECT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.