| NPI | 1295140507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARACHI WACHUKU Executive Director 586-339-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QS1000X Clinic/Center, Student Health | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2016-01-24 |