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 |