| NPI | 1972961175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARIETT ALEXANDER President 313-283-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: MI MI10206M) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |