Organization
MYNA
Active
Parent organization
MYNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYNA
Authorized official
DR. MANAL OMAR DO (MEDICAL DIRECTOR)
(734) 716-5901
Entity
Organization
Contact information
Practice address
388 INKSTER RD, INKSTER, MI 48141-1209
(734) 716-5901
Mailing address
388 INKSTER RD, INKSTER, MI 48141-1209
(734) 716-5901
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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