| NPI | 1902284193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRE VIAN GOLDSMITH Program Director 248-525-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI SA0631371) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2024-04-29 |