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KENNETH DEON BLUE CADCM
NPI 1518236116
Substance Abuse Rehabilitation Facility in Detroit, MI

Active since December 28, 2011
12305 DEXTER AVE, DETROIT, MI 48206(313) 397-1306(313) 397-6010 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Deon Blue Cadcm NPPES

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

KENNETH DEON BLUE CADCM (NPI 1518236116) is an individual substance abuse rehabilitation facility provider in Detroit, Michigan and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1518236116
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameKENNETH DEON BLUECredential: CADCM
Location Address12305 DEXTER AVEDetroit, MI 48206-1015
Mailing Address12305 Dexter AveDetroit, MI 48206-1015 · (313) 397-1306 · Fax (313) 397-6010
Phone(313) 397-1306
Fax(313) 397-6010
Sole ProprietorYes
Enumeration DateDecember 28, 2011
✔ NPI 1518236116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
12305 DEXTER AVE, Detroit, MI 48206
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Other Providers at the Same Location NPPES 5

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

MS. DENISE MCNAIR LLMSW
Substance Abuse Rehabilitation Facility
12305 DEXTER AVE
DETROIT, MI 48206
Wayne County (313) 397-1306
WILLIAM L. TAYLOR JR. ED.D.
Counselor (Addiction (Substance Use Disorder))
12305 DEXTER AVE
DETROIT, MI 48206
Wayne County (313) 397-1306
WILLIAM DAVID ROBINSON JR. CAC-R, C.C.J.P.
Counselor (Addiction (Substance Use Disorder))
12305 DEXTER AVE
DETROIT, MI 48206
Wayne County (313) 397-1306
DR. KIMBERLY ELYSE PH.D.
Counselor (Pastoral)
12305 DEXTER AVE
DETROIT, MI 48206
Wayne County (313) 397-1306
GET BACK UP, INC.
Substance Abuse Rehabilitation Facility
12305 DEXTER AVE
DETROIT, MI 48206
Wayne County (313) 397-1306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Blue's NPI number?

The NPI number for Kenneth Blue is 1518236116. It was assigned to this individual provider in the NPPES registry on December 28, 2011.

Where is Kenneth Blue located?

Kenneth Blue practices at 12305 Dexter Ave, Detroit, MI 48206. The listed phone number is (313) 397-1306.

What is Kenneth Blue's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Blue was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.