Organization
METRO EAST DRUG TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA MOORE LPN (NURSE)
(313) 371-0055
Entity
Organization
Contact information
Practice address
10771 SOMERSET AVE, DETROIT, MI 48224-1733
(313) 371-0055
(313) 371-1409
Mailing address
10771 SOMERSET AVE, DETROIT, MI 48224-1733
(313) 371-0055
(313) 371-1409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
821005
MI
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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