300 W. MCNICHOLS – NPI #1861892820
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

300 W. MCNICHOLS is a substance abuse rehabilitation facility located in DETROIT, MI. NPPES has assigned the NPI number 1861892820 to 300 W. MCNICHOLS on August 27, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 300 W. MCNICHOLS below.

NPI Profile for
300 W. MCNICHOLS

NPI Number
1861892820
Enumeration Date

(about 12 years 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
300 W. MCNICHOLS
Primary location
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone: (313) 867-8015 Fax: (313) 867-8040
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SERGE LOUIS
CEO
Phone: (313) 867-8015
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 MI 821264

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.