| NPI | 1265150767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON DOUGLAS ALSTON Pratice Administrator 248-971-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2023-08-16 |