| NPI | 1285089466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BLAIR Board Member 734-344-5269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-01-11 |