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

Old Redford Treatment Center Inc

Organization Methadone Clinic · NPI 1356212443

Old Redford Treatment Center Inc is a Methadone Clinic in Detroit, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23001 Grand River Ave
Detroit, MI 48219-3130
Phone: (313) 614-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X

Record details

NPI number1356212443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Fuller — Ceo · (313) 614-8000
NPI enumeratedSeptember 13, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address23001 Grand River Ave, Detroit, MI 48219-3130

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