Organization
BLACK ROCK RECOVERY, LLC
Active
Organization
BLACK ROCK RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENI V SMITH MD (PARTNER)
(248) 252-6192
Entity
Organization
Contact information
Practice address
25235 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-1233
(248) 252-6192
Mailing address
25235 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-1233
(248) 252-6192
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/11/2020
Last updated
02/14/2020
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