Organization
MOTOR CITY HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL RIGUERAS DO (MEDICAL DIRECTOR)
(305) 401-0161
Entity
Organization
Contact information
Practice address
5555 CORNER AVENUE, DETROIT, MI 48213
(734) 777-0907
Mailing address
5555 CORNER AVENUE, DETROIT, MI 48213
(734) 777-0907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780801308
NPI
MI
Enumeration date
11/07/2017
Last updated
06/16/2018
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