METRO EAST DRUG TREATMENT NPI 1669592036

Community/Behavioral Health in Detroit, MI

NPI 1669592036 Organization Community/Behavioral Health

About METRO EAST DRUG TREATMENT

Metro East Drug Treatment is a provider established in Detroit, Michigan specializing in community/behavioral health. The NPI number of Metro East Drug Treatment is 1669592036 and was assigned on March 2007. The practitioner's primary taxonomy code is 251S00000X with license number 8210055 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Bose Shabazz (Counselor)

NPI

1669592036

Provider NameMETRO EAST DRUG TREATMENT
Provider Location Address2175 CHALMERS ST DETROIT, MI 48215
Provider Mailing Address2175 CHALMERS ST DETROIT, MI 48215
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-30-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.8210055
License StateMI
Taxonomy DescriptionA 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.

Business Address

METRO EAST DRUG TREATMENT
2175 CHALMERS ST
DETROIT, MI
ZIP 48215
Phone: (313) 371-7770
Fax: (313) 371-1409

Get Directions


Mailing Address

METRO EAST DRUG TREATMENT
2175 CHALMERS ST
DETROIT, MI
ZIP 48215
Phone: (313) 371-7770
Fax: (313) 371-1409



Authorized Official

Authorized Official Name BOSE SHABAZZ
Authorized Official TitleCOUNSELOR
Authorized Official Phone(313) 371-7770

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.