Organization
SPECTRUM JUVENILE JUSTICE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SWANINGER (PRESIDENT AND CEO)
(734) 367-6765
Entity
Organization
Contact information
Practice address
330 GLENDALE ST, HIGHLAND PARK, MI 48203-3277
(313) 868-8310
Mailing address
28303 JOY RD, WESTLAND, MI 48185-5524
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
07/31/2025
Last updated
11/13/2025
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