Organization
NORTHWEST DRUG REHABILITATION INC
Active
Parent organization
NORTHWEST INDUSTRIAL & MEDICAL SERVICES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST INDUSTRIAL & MEDICAL SERVICES PC
Authorized official
NATASHA PURRY (MEDICAL BILLING SPECIALIST)
(248) 739-6343
Entity
Organization
Contact information
Practice address
9600 DEXTER AVE, DETROIT, MI 48206-1816
(313) 894-7881
(313) 894-6312
Mailing address
9600 DEXTER AVE, DETROIT, MI 48206-1816
(313) 894-7881
(313) 894-6312
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
4301045243
MI
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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