NPI | 1558029900 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARJEEL KHAN CEO 248-444-2772 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2021-12-02 |
Last Update Date | 2024-11-14 |