| NPI | 1669874418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SCOTT Program Sponsor 810-229-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI SA0470095) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2022-06-07 |