| NPI | 1629743331 |
|---|---|
| Other Name | MOUD CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUTH A SCHANG Director, Professional Billing 810-262-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-10-08 |