MIDWEST DETOX LLC NPI 1316690753

NPI Information

NPI: 1316690753
Provider Name: MIDWEST DETOX LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
31153 PLYMOUTH RD STE 105
LIVONIA, MI
ZIP 48150
Phone: (231) 409-0606
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MIDWEST DETOX LLC is an addiction (substance use disorder) counselor in Livonia, MI. MIDWEST DETOX LLC NPI is 1316690753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31153 PLYMOUTH RD STE 105
LIVONIA, MI
ZIP 48150-134
Phone: (231) 409-0606

The provider's authorized official is Donovan Miske .
The authorized official title is Executive Director and has the following contact phone number (313) 444-0167.

The enumeration date for this NPI number is 1/26/2022 and was last updated on 1/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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