Spectrum Juvenile Justice Services
Family Medicine, Adolescent Medicine in Highland Park, MI. Organization (NPI-2).
NPI number1881578284
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1881578284
- Entity type
- Organization (NPI-2)
- Legal business name
- Spectrum Juvenile Justice Services
- Organization subpart
- No
- Enumeration date
- Jul 31, 2025
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0000X | Family Medicine, Adolescent Medicine | – | – | Yes |
| 163WG0000X | Registered Nurse, General Practice | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – |
Practice location
330 Glendale StHighland Park, MI 48203-3277
Phone 313-868-8310
Mailing address
28303 Joy RdWestland, MI 48185-5524
Other practice locations
1961 Lincoln St
Highland Park, MI 48203-3077
Highland Park, MI 48203-3077
Phone 313-852-7500
Authorized official
Joshua Swaninger
President And Ceo
7343676765
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