Organization
MILLENNIUM TREATMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY COSIMO CLEMENTE LMSW (EXECUTIVE DIRECTOR)
(586) 758-6670
Entity
Organization
Contact information
Practice address
23700 VAN DYKE AVE, WARREN, MI 48089-1669
(586) 758-6670
(586) 758-0243
Mailing address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(248) 547-2223
(248) 547-2226
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
500371
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500371
—
MI
Enumeration date
03/17/2008
Last updated
03/17/2008
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