Metro East Drug Treatment Corporation | |
13929 Harper Ave Detroit MI 48213-3672 | |
(313) 371-0055 | |
(313) 371-1409 |
Full Name | Metro East Drug Treatment Corporation |
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Speciality | Community/Behavioral Health |
Location | 13929 Harper Ave, Detroit, Michigan |
Authorized Official Name and Position | Leslie B Carroll (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3133710055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Metro East Drug Treatment Corporation 13929 Harper Ave Detroit MI 48213-3672 Ph: (313) 371-0055 | Metro East Drug Treatment Corporation 13929 Harper Ave Detroit MI 48213-3672 Ph: (313) 371-0055 |
NPI Number | 1023229077 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 05/13/2020 |
Certification Date | 05/13/2020 |
Medicare PECOS PAC ID | 9133555964 |
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Medicare Enrollment ID | O20200214000098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023229077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 821237 (Michigan) | Primary |
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