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Contact Information

SPECTRUM JUVENILE JUSTICE SERVICES
330 GLENDALE ST
HIGHLAND PARK, MI48203-3277
 Phone: 313-868-8310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

General Practice

163WG0000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Residential Treatment Facility, Emotionally Disturbed Children

322D00000X
Indicates primary specialty

NPI Profile & details for SPECTRUM JUVENILE JUSTICE SERVICES

NPI Number 1881578284
LBN Legal business name SPECTRUM JUVENILE JUSTICE SERVICES
Authorized official JOSHUA SWANINGER - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2025
Last updated 11/13/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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