Individual
MR. MICHAEL KEVIN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FAODP
Contact information
Practice address
2081 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 895-0500
(313) 895-9503
Mailing address
1991 EDISON ST, DETROIT, MI 48206-2040
(313) 865-3595
(313) 895-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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