Organization
NARDIN PARK RECOVERY CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL SCOTT JR. (ASSOCIATE DIRECTOR)
(313) 834-5930
Entity
Organization
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
(313) 834-4541
Mailing address
9605 GRAND RIVER AVE., DETROIT, MI 48204
(313) 834-5930
(313) 834-4541
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
820198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820198
—
MI
Enumeration date
02/13/2007
Last updated
01/22/2008
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