Healthcare Provider Details

I. General information

NPI: 1912886177
Provider Name (Legal Business Name): DETROIT INTEGRATED CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2025
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 CROOKS RD
ROYAL OAK MI
48073-3278
US

IV. Provider business mailing address

2940 CROOKS RD
ROYAL OAK MI
48073-3278
US

V. Phone/Fax

Practice location:
  • Phone: 313-284-2858
  • Fax:
Mailing address:
  • Phone: 313-284-2858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXIS SKURAS
Title or Position: OWNER
Credential: DNP, APRN, AGCNS-BC
Phone: 586-556-7670