| NPI | 1861673196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L HAMBLY Director Of Finances 248-547-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: MI 6801089285) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |