Organization
BRADLEY SCOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY R SCOTT M.A. (INTERN)
(248) 658-1116
Entity
Organization
Contact information
Practice address
1400 E 12 MILE RD, MADISON HTS, MI 48071-2651
(248) 658-1116
(248) 658-1120
Mailing address
1400 E 12 MILE RD, MADISON HTS, MI 48071-2651
(248) 658-1116
(248) 658-1120
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MI
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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