Organization
MIDWEST RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRIAM JENSEN PH.D. (OFFICER)
(248) 529-3167
Entity
Organization
Contact information
Practice address
210 W HIGHLAND RD STE 102, HIGHLAND, MI 48357-4573
(810) 215-1006
Mailing address
210 W HIGHLAND RD STE 102, HIGHLAND, MI 48357-4573
(248) 529-3167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
10/11/2024
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