Organization · Type 2 NPI
Michigan Forensic Intervention Services
Substance Use Disorder Rehabilitation Clinic/Center · St. Clair Shores, MI
NPI number
1861862641
Active
Practice location
21821 Lakeview St
St. Clair Shores, MI 48080-4057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | SA0500473 (MI) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1861862641
Michigan Forensic Intervention Services's National Provider Identifier is 1861862641, issued on Oct 6, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in St. Clair Shores, MI. The record was last updated on Oct 6, 2015.