Ncadd-Impact Adolescent Health Center

LBN: Ncadd-Impact Adolescent Health Center
Ncadd-Impact Adolescent Health Center is an health care organization with primary practice located at 5555 Conner St 2000 North, Detroit MI 48213-3448. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Ncadd-Impact Adolescent Health Center can be contacted via phone (313) 921-8102, or through Mcglothian, Laverne Denise via phone (313) 921-8102.

Contact Information

Primary practice address
5555 Conner St 2000 North Detroit MI 48213-3448
Phone: (313) 921-8102
Fax: (313) 921-4184
Website:
Map and Directions
Authorized official contact:
Name: Mcglothian, Laverne Denise FOADP
Phone: (313) 921-8102

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X C1820235935 Michigan

Profile Details

NPI number 1134341092
LBN Legal business name Ncadd-Impact Adolescent Health Center
DBA Doing business as
Authorized official Mcglothian, Laverne Denise FOADP
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Aug 14th, 2008 - about 16 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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