Organization
AMERICA RECOVERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA PASS (CREDENTIALING MANAGER)
(248) 820-1712
Entity
Organization
Contact information
Practice address
20217 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-2692
(313) 395-3444
(313) 395-3222
Mailing address
6867 SNOW APPLE DR, CLARKSTON, MI 48346-1635
(248) 820-1712
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4301055667
MI
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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