OrganizationActive
Inner Man Wellness and Support Services
NPI 1669932109 · Substance Abuse Rehabilitation Facility · Bloomfield, MI
Provider details
- NPI number
- 1669932109
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Roderick Gillison, Executive Director(248) 802-2712
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4890 Ballantrae Rd
Bloomfield, MI 48301-1000
Phone: (248) 802-2712
Street-level locationGet directions
Mailing address
4890 Ballantrae Rd
Bloomfield, MI 48301-1000
Registry dates
- Enumerated
- 2019-03-21
- Last updated
- 2019-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.