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GRATIOT CLINIC
NPI 1710102249
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since April 17, 2007
3506 GRATIOT AVE, DETROIT, MI 48207(313) 887-6761(313) 852-4847 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gratiot Clinic NPPES

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

GRATIOT CLINIC (NPI 1710102249) is a healthcare organization registered as an addiction (substance use disorder) in Detroit, Michigan and active in the NPI registry since April 2007. The organization lists Kenneth Dwayne Perry, Clinic Supervisor, as its authorized official.

NPPES Registry Identity

NPI1710102249
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameGRATIOT CLINIC
Location Address3506 GRATIOT AVEDetroit, MI 48207-1830
Mailing Address3506 Gratiot AveDetroit, MI 48207-1830 · (313) 887-6761 · Fax (313) 852-4847
Phone(313) 887-6761
Fax(313) 852-4847
Organization SubpartNo
Authorized OfficialKenneth Dwayne PerryClinic Supervisor · (313) 887-6760
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710102249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · 820522
3506 GRATIOT AVE, Detroit, MI 48207
Open in Google Maps ↗

Other Identifiers 1

OtherMI10142MI · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

LEVONNE DONNIE DAVIS BA,SW
Counselor (Addiction (Substance Use Disorder))
3506 GRATIOT AVE
DETROIT, MI 48207
Wayne County (313) 887-6761
MS. BARBARA ANN SHEARER BA,SAC
Counselor (Addiction (Substance Use Disorder))
3506 GRATIOT AVE
DETROIT, MI 48207
Wayne County (313) 887-6771
MRS. CAROL BRYANT RN
Registered Nurse (Addiction (Substance Use Disorder))
3506 GRATIOT AVE
DETROIT, MI 48207
Wayne County (313) 887-6757
MS. NOREEN F SHACKELFORD RN
Registered Nurse (Addiction (Substance Use Disorder))
3506 GRATIOT AVE
DETROIT, MI 48207
Wayne County (313) 887-6757

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 Gratiot Clinic's NPI number?

The NPI number for Gratiot Clinic is 1710102249. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Gratiot Clinic located?

Gratiot Clinic is located at 3506 Gratiot Ave, Detroit, MI 48207. The listed phone number is (313) 887-6761.

What is Gratiot Clinic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gratiot Clinic 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.