OrganizationActive
Midwest Detox LLC
NPI 1316690753 · Addiction (Substance Use Disorder) Counselor · Livonia, MI
Provider details
- NPI number
- 1316690753
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Donovan Miske, Executive Director(313) 444-0167
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31153 Plymouth Rd Ste 105
Livonia, MI 48150-2134
Phone: (231) 409-0606
Street-level locationGet directions
Mailing address
31153 Plymouth Rd Ste 105
Livonia, MI 48150-2134
Registry dates
- Enumerated
- 2022-01-26
- Last updated
- 2022-01-26
- Certified
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.