Organization · Type 2 NPI
Luminescence Center of Michigan LLC
Methadone Clinic · Southgate, MI
NPI number
1952856650
Active
Practice location
16085 Dix Toledo Rd
Southgate, MI 48195-2950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
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 1952856650
Luminescence Center of Michigan LLC's National Provider Identifier is 1952856650, issued on Aug 23, 2016. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Southgate, MI. The record was last updated on Aug 23, 2016.