Organization
EASTSIDE SUBSTANCE ABUSE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIEN SMITH SMITH (PROGRAM DIRECTOR)
(231) 739-4359
Entity
Organization
Contact information
Practice address
445 E SHERMAN BLVD, MUSKEGON HEIGHTS, MI 49444-2203
(231) 739-4359
(231) 733-6151
Mailing address
445 E SHERMAN BLVD, MUSKEGON HEIGHTS, MI 49444-2203
(231) 739-4359
(231) 733-6151
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
610030
MI
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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