| 1/4 Mile Recovery, Pllc | |
|
30300 Northwestern Hwy Ste 290 Farmington Hills MI 48334-3476 | |
| (248) 671-4116 | |
| Not Available |
| Full Name | 1/4 Mile Recovery, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 30300 Northwestern Hwy Ste 290, Farmington Hills, Michigan |
| Authorized Official Name and Position | Ruma Hopkins (MEMBER) |
| Authorized Official Contact | 2483030391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1/4 Mile Recovery, Pllc 1281 E 14 Mile Rd Birmingham MI 48009-2090 Ph: () - | 1/4 Mile Recovery, Pllc 30300 Northwestern Hwy Ste 290 Farmington Hills MI 48334-3476 Ph: (248) 671-4116 |
| NPI Number | 1477018372 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477018372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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