| NPI | 1205415817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GREENBERG Owner 248-933-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2024-10-24 |