NORTHWEST DRUG REHABILITATION INC (NPI# 1679873798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679873798 |
| Entity Type | Organization |
| Organization Name | NORTHWEST DRUG REHABILITATION INC |
| Practice Address |
9600 Dexter Ave Detroit MI 48206-1816 |
| Practice Telephone | 3138947881 |
| Practice Fax Number | 3138946312 |
| Mailing Telephone | 3138947881 |
| Mailing Fax Number | 3138946312 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Authorized Official Name | NATASHA PURRY (MEDICAL BILLING SPECIALIST) |
| Authorized Official Telephone | 2487396343 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST INDUSTRIAL & MEDICAL SERVICES PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
4301045243 | MI | Ambulatory Health Care Facilities |
| Street Address |
9600 DEXTER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48206-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235196023 | Angela Lynn Roman | Nurse Practitioner | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2006-04-27 |
| 1295118842 | Preventative Patterns Care Management | Early Intervention Provider Agency | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2015-07-01 |
| 1497172381 | Light of Hope Family Medical Clinic | Clinic/Center | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2014-03-28 |
| 1770911703 | Romancare Health Services | Nurse Practitioner | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2013-10-30 |
| 1538504626 | Northwest Surgical & Medical Comprehensive Services PC | General Practice | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2013-05-03 |
| 1518238104 | Taylor Comprehensive Care | Family Medicine | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2012-01-13 |
| 1144507682 | Ayhanna Latoya Dennis | Counselor | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2011-11-11 |
| 1730481201 | Dennis Irvine | Counselor | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2010-12-03 |
| 1275833709 | Northwest Industrail Drug Rehabilitation Clinic | Counselor | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2010-11-01 |
| 1346540481 | Cathy Ann Haynes | Counselor | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2010-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1306330246 | Harper's Care Club, LLC | Home Health | 1732 W Bethune St Apt 4, Detroit, MI 48206 | 2018-06-14 |
| 1700210440 | Tender Loving Care Assisted Living | Custodial Care Facility | 2250 W.euclid, Detroit, MI 48206 | 2013-08-29 |
| 1063560761 | Platinum Care Pharmacy Inc. | Pharmacy | 8500 14th Street, Detroit, MI 48206 | 2007-01-08 |
| 1619067527 | Young-sims Clinic PC | Family Medicine | 9150 Linwood, Detroit, MI 48206 | 2006-10-13 |
| 1093811200 | Grace W Patterson | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-15 |
| 1164437992 | Rosa Park Medical Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8665 Rosa Parks Boulavard, Detroit, MI 48206 | 2006-07-30 |
| 1336495696 | Ephraim I Onwuegbuchu | Pharmacist | 8500 14th Street, Detroit, MI 48206 | 2012-07-24 |
| 1962647552 | Jabez Recovery Management Services, Inc | Substance Abuse Rehabilitation Facility | 2755 Collingwood St, Detroit, MI 48206 | 2008-12-10 |
| 1033215918 | Robert Nmn Sims | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-16 |
| Find all providers in zip 48206 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578960480 | Changes1, Pllc | Clinic/Center | 19940 Conant, Ste A, B, & C, Detroit, MI 48234-1494 | 2014-11-21 |
| 1033251269 | Nardin Park Recovery Center,inc. | Clinic/Center | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2007-02-13 |
| 1124491170 | Institute of Supportive Services, Inc. | Clinic/Center | 12400 E 7 Mile Rd, Detroit, MI 48205-2155 | 2015-11-12 |
| 1265837280 | Sunshine Treatment Institute LLC | Clinic/Center | 4821 E Mcnichols Rd, Detroit, MI 48212-1730 | 2014-11-03 |
| 1821112103 | Northwest Industrial Drug Rehabilitation Clinic | Clinic/Center | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2007-03-19 |
| 1154430270 | Star Center, Inc. | Clinic/Center | 13575 Lesure St, Detroit, MI 48227-3131 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1942675426 | Eastern Clinic Pllc | Clinic/Center | 1555 Eastern Ave Se, Grand Rapids, MI 49507-2055 | 2015-12-09 |
| 1740653641 | Ann Arbor Treatment Services, LLC | Clinic/Center | 4673 Washtenaw Ave, Ann Arbor, MI 48108 | 2015-11-02 |
| 1902284193 | Therapeutics, LLC | Clinic/Center | 50222 Dennis Ct, Wixom, MI 48393-2023 | 2015-05-08 |
| 1669874418 | The Brighton Center, Inc. | Clinic/Center | 2512 Harte Dr, Brighton, MI 48114-7002 | 2014-09-24 |
| 1275969990 | Harriet Alexander | Clinic/Center | 20724 Eureka Rd., Taylor, MI 48180 | 2013-09-26 |
| 1922383397 | Rainbow Center Inc. | Clinic/Center | 20724 Eureka Rd, Taylor, MI 48180-5313 | 2011-10-18 |
| 1306078084 | Crc Recovery, Inc. | Clinic/Center | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2009-08-14 |
| Find all providers with the same taxonomy | ||||
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| 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.