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 |