| Pro Med Substance Abuse Program Llc | |
|
2891 E. Maple Rd. Suite 200 Troy MI 48083 | |
| (248) 726-0127 | |
| Not Available |
| Full Name | Pro Med Substance Abuse Program Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2891 E. Maple Rd. Suite 200, Troy, Michigan |
| Authorized Official Name and Position | Mark Wolodkowicz (ADMINISTRATOR) |
| Authorized Official Contact | 2487260127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Med Substance Abuse Program Llc 2891 E. Maple Rd. Suite 200 Troy MI 48083 Ph: (248) 726-0127 | Pro Med Substance Abuse Program Llc 2891 E. Maple Rd. Suite 200 Troy MI 48083 Ph: (248) 726-0127 |
| NPI Number | 1861748238 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861748238 | NPI | - | NPPES |
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