OrganizationActive
America Recovery Center, PLLC
NPI 1356869572 · Addiction Medicine (Internal Medicine) Physician · Dearborn Heights, MI
Provider details
- NPI number
- 1356869572
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olivia Pass, Credentialing Manager(248) 820-1712
- License
- 4301055667 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
20217 Ann Arbor Trl
Dearborn Heights, MI 48127-2692
Phone: (313) 395-3444
Fax: (313) 395-3222
Street-level locationGet directions
Mailing address
6867 Snow Apple Dr
Clarkston, MI 48346-1635
Registry dates
- Enumerated
- 2017-09-07
- Last updated
- 2017-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.