| NPI | 1942618228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLITA CHANDLER General Partner 313-368-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI SA0823210) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI SA0823210) |
| 251B00000X Case Management | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |