Organization
MIDWEST DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEIR KASNETT (OWNER)
(216) 372-6643
Entity
Organization
Contact information
Practice address
13850 W CAPITOL DR, BROOKFIELD, WI 53005-2422
(414) 930-1930
Mailing address
13850 W CAPITOL DR, BROOKFIELD, WI 53005-2422
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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