| NPI | 1154414183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIEN SMITH Program Director 269-926-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI 110093) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-05-07 |