DETROIT INTEGRATED CARE – NPI #1104706175
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

DETROIT INTEGRATED CARE is a provider located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1104706175 to DETROIT INTEGRATED CARE on September 02, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on May 22, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DETROIT INTEGRATED CARE below.

NPI Profile for
DETROIT INTEGRATED CARE

NPI Number
1104706175
Enumeration Date

(about 9 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DETROIT INTEGRATED CARE
Primary location
29532 SOUTHFIELD RD STE 115
SOUTHFIELD, MI 48076-2023
Phone: (313) 284-2858 Fax:
Mailing address
2940 CROOKS RD
ROYAL OAK, MI 48073-3278
Phone: Fax:
Organization Subpart
No
Authorized Official
ALEXIS SKURAS
DIRECTOR
Phone: (586) 556-7670
Updated
Certification Date
May 22, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.