Organization · Type 2 NPI
Baymark of Michigan, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Kentwood, MI
NPI number
1871099481
Active
Practice location
5500 Division Avenue SE
Kentwood, MI 49548
Fax (214) 550-2635
Mailing address
1720 Lakepointe Dr Ste 170
Lewisville, TX 75057-6458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1871099481
Baymark of Michigan, Inc.'s National Provider Identifier is 1871099481, issued on Apr 3, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Kentwood, MI. The record was last updated on Feb 20, 2019.