Organization · Type 2 NPI
Eastern Clinic PLLC
Methadone Clinic · Grand Rapids, MI
NPI number
1942675426
Active
Practice location
1555 Eastern Ave SE
Grand Rapids, MI 49507-2055
Fax (616) 243-6969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | SA0410165 (MI) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
About NPI 1942675426
Eastern Clinic PLLC's National Provider Identifier is 1942675426, issued on Dec 9, 2015. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 9, 2015.