| NPI | 1154430270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE R. SAENZ Assistant Director 313-493-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI 821426) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-07-21 |