Organization
MILLENNIUM TREATMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L HAMBLY (DIRECTOR OF FINANCES)
(248) 547-2223
Entity
Organization
Contact information
Practice address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(248) 547-2223
(248) 547-2226
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
6801089285
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631090
—
MI
Enumeration date
11/15/2007
Last updated
11/15/2007
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