| NPI | 1558029900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARJEEL KHAN CEO 248-444-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2025-01-13 |