Organization
MILLENNIUM TREATMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY COSIMO CLEMENTE (EXECUTIVE DIRECTOR)
(248) 932-3412
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
500371
MI
261QM2800X
Methadone Clinic
Primary
631090
MI
Other
Enumeration date
07/07/2006
Last updated
11/08/2007
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