Organization
PANAGIA MEDICAL RECOVERY CLINIC PLLC
Active
Organization
PANAGIA MEDICAL RECOVERY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRA GRACE MD (MEMBER)
(248) 810-4727
Entity
Organization
Contact information
Practice address
43191 DALCOMA DR STE 101, CLINTON TOWNSHIP, MI 48038-6308
(248) 810-4727
(248) 810-4727
Mailing address
43191 DALCOMA DR STE 101, CLINTON TOWNSHIP, MI 48038-6308
(248) 810-4727
(248) 810-4727
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
09/03/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up