Innovative Addiction Services

LBN: Innovative Addiction Services
Innovative Addiction Services is an health care organization with primary practice located at 3721 W Michigan Ave Ste 200 , Lansing MI 48917-3600. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Treatment, Children. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Innovative Addiction Services can be contacted via phone (517) 515-6176, or through Tillery, Ricardo David via phone (517) 703-3387.

Contact Information

Primary practice address
3721 W Michigan Ave Ste 200 Lansing MI 48917-3600
Phone: (517) 515-6176
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tillery, Ricardo David MBA, LMSW, CAADC
Phone: (517) 703-3387

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1356931513
LBN Legal business name Innovative Addiction Services
DBA Doing business as
Authorized official Tillery, Ricardo David MBA, LMSW, CAADC
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 21st, 2021
Last updated Jan 21st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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