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1400 E 12 Mile Rd Madison Heights MI 48071-2651 | |
| (248) 547-2223 | |
| (800) 377-9518 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 1400 E 12 Mile Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Cindy Gaither (VP REVENUE CYCLE MGMT) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 220 Sullivan MO 63080-0220 Ph: (573) 860-2273 | 1400 E 12 Mile Rd Madison Heights MI 48071-2651 Ph: (248) 547-2223 |
| NPI Number | 1306098801 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 02/10/2024 |
| Certification Date | 02/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306098801 | NPI | - | NPPES |
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