METROPOLITAN ARTS COMPLEX INC (NPI# 1952431777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952431777 |
Entity Type | Organization |
Organization Name | METROPOLITAN ARTS COMPLEX INC |
Other Organization Name | METRO ARTS THERAPY SERVICES |
Practice Address |
11000 W. Mcnichols Suite B3 & B4 Detroit MI 48221 |
Mailing Address |
11000 W. Mcnichols Suite B3 & B4 Detroit MI 48221-2357 |
Practice Telephone | 3138635554 |
Practice Fax Number | 3138634711 |
Mailing Telephone | 3138635554 |
Mailing Fax Number | 3138634711 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2018-10-26 |
Authorized Official Name | MRS. AMELITA LEVON MANDINGO (EXECUTIVE DIRECTOR & CLINICIAN) |
Authorized Official Telephone | 3138635554 |
Authorized Official Credential | PHD, ADS, CHT, C |
Is Organization Subpart | Y |
Parent Organization Name | METROPOLITAN ARTS COMPLEX INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6401010525 | MI | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
6401010525 | MI | Behavioral Health & Social Service Providers |
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
6401010525 | MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 31-3204514 | 05 |
Other Name | Type Code |
---|---|
Metro Arts Therapy Services | Doing Business As Name - Organization |
Street Address |
11000 W. MCNICHOLS SUITE B3 & B4 |
City | DETROIT |
State | MI |
Zip Code | 48221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
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Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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1922509884 | Village of Hope Senior Center | Clinic/Center | 3127 E Canfield St, Detroit, MI 48207-1508 | 2018-02-26 |
1316481195 | Wayne State University | Clinic/Center | 3901 Chrysler Services Drive, Detroit, MI 48201 | 2016-12-13 |
1730555640 | A New Beginning | Clinic/Center | 2690 West Boston Blvd, Detroit, MI 48206-1751 | 2015-08-14 |
1225368301 | William W. Martin, Md PC | Clinic/Center | 5575 Conner, Suite 208, Detroit, MI 48213 | 2010-01-12 |
1861729691 | Swilliams Services, LLC | Clinic/Center | 18965 Santa Barbara Dr, Detroit, MI 48221-2151 | 2009-11-16 |
1649354606 | K&k Assisted | Clinic/Center | 12060 Indiana St, Detroit, MI 48204-1084 | 2006-10-25 |
1477174589 | Ltd Psychological Services | Clinic/Center | 15 E Kirby St, Suite 107b, Detroit, MI 48202-4043 | 2020-04-29 |
1801450853 | Harvey-jakson Consulting | Clinic/Center | 19115 W 7 Mile Rd, Detroit, MI 48219-2706 | 2019-04-25 |
1962842005 | Mindful Moments LLC | Clinic/Center | 5737 Harvard Rd, Detroit, MI 48224-2007 | 2013-07-03 |
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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.