Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ncadd-Impact Adolescent Health Center

Organization Substance Abuse Rehabilitation Facility · NPI 1134341092

Ncadd-Impact Adolescent Health Center is a Substance Abuse Rehabilitation Facility in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

5555 Conner St 2000 N
Detroit, MI 48213-3448
Phone: (313) 921-8102
Fax: (313) 921-4184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence C1820235935 (MI)

Record details

NPI number1134341092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laverne McGlothian — Office Manager · (313) 921-8102
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 14, 2008
Mailing address488 Frazier St, River Rouge, MI 48218-1025

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