DETROIT SECOND CHANCE INC NPI 1740932342

NPI Information

NPI: 1740932342
Provider Name: DETROIT SECOND CHANCE INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
310 VISGER RD
RIVER ROUGE, MI
ZIP 48218
Phone: (313) 561-8600
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DETROIT SECOND CHANCE INC is a rehabilitation and substance use disorder clinic center in River Rouge, MI. DETROIT SECOND CHANCE INC NPI is 1740932342. The provider is registered as an organization entity type.

The provider's business location address is:

310 VISGER RD
RIVER ROUGE, MI
ZIP 48218-037
Phone: (313) 561-8600

The provider's authorized official is Darryl Wayne Eason .
The authorized official title is Ceo and has the following contact phone number (313) 561-8600.

The enumeration date for this NPI number is 1/25/2022 and was last updated on 1/25/2022.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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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