Metro East Drugtreatment Corporation | |
17510 Indiana St Apt 2 Detroit Detroit MI 48221-2483 | |
(313) 371-0055 | |
(313) 371-1409 |
Full Name | Metro East Drugtreatment Corporation |
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Speciality | Community/behavioral Health |
Location | 17510 Indiana St Apt 2, Detroit, Michigan |
Authorized Official Name and Position | Emma Jean Robinson (BILLING SUPERVISOR) |
Authorized Official Contact | 3133710055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Metro East Drugtreatment Corporation 17510 Indiana St Apt 2 Detroit Detroit MI 48221-2483 Ph: (313) 371-0055 | Metro East Drugtreatment Corporation 17510 Indiana St Apt 2 Detroit Detroit MI 48221-2483 Ph: (313) 371-0055 |
NPI Number | 1740307909 |
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Provider Enumeration Date | 03/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740307909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 821237 (Michigan) | Primary |
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