| NPI | 1619148897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY COSIMO CLEMENTE Executive Director 586-758-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI 500371) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |