OrganizationActive
Old Redford Treatment Center Inc
NPI 1356212443 · Methadone Clinic · Detroit, MI
Old Redford Treatment Center Inc is a Methadone Clinic organization in Detroit, MI (NPI 1356212443).
Provider details
- NPI number
- 1356212443
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anthony Fuller, Ceo(313) 614-8000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
23001 Grand River Ave
Detroit, MI 48219-3130
Phone: (313) 614-8000
Street-level locationGet directions
Mailing address
23001 Grand River Ave
Detroit, MI 48219-3130
Registry dates
- Enumerated
- 2025-09-13
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Old Redford Treatment Center Inc's NPI number?
- Old Redford Treatment Center Inc's National Provider Identifier (NPI) is 1356212443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Redford Treatment Center Inc?
- Old Redford Treatment Center Inc is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Old Redford Treatment Center Inc located?
- Old Redford Treatment Center Inc's practice location on file with NPPES is 23001 Grand River Ave, Detroit, MI 48219-3130.
- What is Old Redford Treatment Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Old Redford Treatment Center Inc is (313) 614-8000.
- Who is the authorized official for Old Redford Treatment Center Inc?
- The authorized official listed on Old Redford Treatment Center Inc's NPPES record is Anthony Fuller, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Redford Treatment Center Inc's NPI active?
- Yes — Old Redford Treatment Center Inc's NPI (1356212443) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.