| NPI | 1922375724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L RODRIGUEZ CEO 248-481-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: MI 4301086699) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2015-06-12 |