| NPI | 1962754929 |
|---|---|
| Doing Business As | MERIDIAN HEALTH SERVICES - PONTIAC MAT |
| Entity Type | Organization |
| Authorized Contact | RICHARD W PAIGE President /Chief Executive Officer 248-406-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X (Licence: MI 631281) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2023-03-14 |