# TAYLOR DRUG REHAB CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558501619
- **Authorized official:** DR. ASOK ROY M.D. (CO-OWNER)
- **Authorized official phone:** (313) 366-4500

## Contact information

- **Practice address:** 7700 TELEGRAPH RD, TAYLOR, MI 48180-2236
- **Practice address phone:** (313) 366-4500
- **Mailing address:** 7700 TELEGRAPH RD, TAYLOR, MI 48180-2236
- **Mailing address phone:** (313) 366-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301031786 | MI | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 4301031786 | MI | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 4301031786 | MI | — |
| 207RG0100X | Gastroenterology Physician | 4301031786 | MI | — |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 03/03/2009