| NPI | 1013558386 |
|---|---|
| Doing Business As | INTEGRATED CARE CLINICANS,LLC |
| Entity Type | Organization |
| Authorized Contact | BARBRENE MAHLULI President 313-673-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |