EXECU-TECH MANOR
NPI 1366528747
Community/Behavioral Health in Detroit, MI

Q: What is Execu-Tech Manor's NPI number?

The NPI number for Execu-Tech Manor is 1366528747. It was assigned to this organization in the NPPES registry on October 28, 2006.

Q: What is Execu-Tech Manor's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Execu-Tech Manor was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 28, 2006

2751 E JEFFERSON AVE, SUITE 500, DETROIT, MI 48207(313) 396-0100(313) 396-0105 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Execu-tech Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECU-TECH MANOR (NPI 1366528747) is a healthcare organization registered as a community/behavioral health in Detroit, Michigan and active in the NPI registry since October 2006. The organization lists Joseph A Cummings, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366528747

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameEXECU-TECH MANOR

Location Address2751 E JEFFERSON AVE, SUITE 500Detroit, MI 48207-4180

Mailing Address2751 E Jefferson Ave, Suite 500Detroit, MI 48207-4180 · (313) 396-0100 · Fax (313) 396-0105

Phone(313) 396-0100

Fax(313) 396-0105

Organization SubpartNo

Authorized OfficialJoseph A CummingsExecutive Director · (313) 396-0100

Enumeration DateOctober 28, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1366528747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MI · L796463

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2751 E JEFFERSON AVE, Detroit, MI 48207

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE ANNE BOORE MD

Psychiatry & Neurology (Psychiatry)