THE DETROIT RECOVERY PROJECT (NPI# 1760890263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760890263 |
| Entity Type | Organization |
| Organization Name | THE DETROIT RECOVERY PROJECT |
| Other Organization Name | DETROIT RECOVERY PROJECT, INC |
| Practice Address |
1145 W Grand Blvd Detroit MI 48208-2336 |
| Practice Telephone | 3133248722 |
| Practice Fax Number | 3133653098 |
| Mailing Telephone | 3133248722 |
| Mailing Fax Number | 3133653098 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | KANZONI N ASABIGI (VICE PRESIDENT) |
| Authorized Official Telephone | 3133248900 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | SA0823206 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1760890263 | 05 |
| Other Name | Type Code |
|---|---|
| Detroit recovery Project, Inc | Doing Business As Name - Organization |
| Street Address |
1145 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48208-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013337153 | Linda Jenkins | Counselor | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2014-04-16 |
| 1700498771 | Darryl Angelo Walker | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-08-20 |
| 1124645049 | Marcus Llewellyn Bynes | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-06-26 |
| 1437775798 | Steven James Lawrence | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-06-23 |
| 1649896358 | Crystal Ann Dussia | Social Worker | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-06-18 |
| 1972968618 | George Arnold Jr. | Counselor | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2015-12-23 |
| 1285029942 | Deborah Garrett | Counselor | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2015-03-31 |
| 1932518602 | Jerome Chandler | Counselor | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1932645405 | Diane Louise Dodson | Counselor | 5500 Trumbull Apt 315, Detroit, MI 48208 | 2017-01-09 |
| 1164881306 | Cory Eugene Martin | Counselor | 1852 W. Grand Blvd., Detroit, MI 48208 | 2016-02-16 |
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1942629167 | Diana Pool | Counselor | 3737 Lawton, Detroit, MI 48208 | 2014-04-15 |
| 1124467048 | Aisha Williams | Social Worker | 4707 Vinewood St., Detroit, MI 48208 | 2013-06-25 |
| 1295079895 | Mia Love | Nurse Practitioner | 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2012-11-20 |
| 1992064356 | Valarie Egeria Foulks | Counselor | 2051 W. Grand Blvd, Detroit, MI 48208 | 2012-05-04 |
| 1023304078 | Ayana Njeri Davis | Massage Therapist | 2550 W. Grand Blvd, Detroit, MI 48208 | 2011-06-28 |
| 1184922627 | Shar Inc. | Community Based Residential Treatment Facility, Mental Illness | 1852 W.grand Blvd, Detroit, MI 48208 | 2011-03-08 |
| Find all providers in zip 48208 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1356988562 | Charlotte Yvonne Overall | Community/Behavioral Health | 13334 Longview St, Detroit, MI 48213-1919 | 2019-12-06 |
| 1477110054 | Reymac Home Healthcare LLC | Community/Behavioral Health | 13030 W 7 Mile Rd, Detroit, MI 48235-1335 | 2019-05-20 |
| 1033773528 | Great Futures Family Services Inc | Community/Behavioral Health | 11475 E Outer Dr, Detroit, MI 48224-3226 | 2019-04-30 |
| 1275197527 | Volunteers of America Michigan | Community/Behavioral Health | 3031 W Grand Blvd Ste 465, Detroit, MI 48202-3017 | 2019-04-23 |
| 1891271458 | Bwl Care, LLC | Community/Behavioral Health | 16861 Wyoming St, Detroit, MI 48221-2850 | 2018-07-17 |
| 1780189365 | Fayna T Counseling Services Pllc | Community/Behavioral Health | 5575 Conner St Ste 208, Detroit, MI 48213-6401 | 2018-03-27 |
| 1912400508 | Your Voice and Choice, Pllc | Community/Behavioral Health | 12241 Vaughan St, Detroit, MI 48228-1008 | 2018-03-09 |
| 1508365560 | Zion's Hope Social Services LLC | Community/Behavioral Health | 16860 Gardenview Cir Bldg C, Detroit, MI 48228-4319 | 2018-02-06 |
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.