EAGLE ADVANCEMENT INSTITUTE NPI 1053722280

NPI Information

NPI: 1053722280
Provider Name: EAGLE ADVANCEMENT INSTITUTE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
7091 ORCHARD LAKE RD
SUITE 200
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 562-7284
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EAGLE ADVANCEMENT INSTITUTE is a multi-specialty clinic center in West Bloomfield, MI. EAGLE ADVANCEMENT INSTITUTE NPI is 1053722280. The provider is registered as an organization entity type.

The provider's business location address is:

7091 ORCHARD LAKE RD
SUITE 200
WEST BLOOMFIELD, MI
ZIP 48322-654
Phone: (248) 562-7284
Fax: (248) 707-1081

The provider's authorized official is James William Carpenter .
The authorized official title is Director and has the following contact phone number (248) 562-7284.

The enumeration date for this NPI number is 5/9/2014 and was last updated on 4/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	276400000X	Rehabilitation, Substance Use Disorder Unit		SA0631360	MICHIGAN	No
2	324500000X	Substance Abuse Rehabilitation Facility		SA0631360	MICHIGAN	No
3	261QM1300X	Clinic/Center	Multi-Specialty	L2527661	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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