| NPI | 1033251269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SCOTT Associate Director 313-834-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: MI 820198) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-01-22 |