Organization
INTEGRATED CARE CLINICIANS, LLC
Active
Other names
Integrated Care Clinicans,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBRENE MAHLULI (PRESIDENT)
(313) 673-8636
Entity
Organization
Contact information
Practice address
989 UNIVERSITY DR, PONTIAC, MI 48342-1885
(248) 818-1249
Mailing address
989 UNIVERSITY DR, PONTIAC, MI 48342-1885
(248) 818-1249
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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