MILLENNIUM TREATMENT SERVICES LLC NPI 1619148897

NPI Information

NPI: 1619148897
Provider Name: MILLENNIUM TREATMENT SERVICES LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
23700 VAN DYKE AVE
WARREN, MI
ZIP 48089
Phone: (586) 758-6670
Get Directions

MILLENNIUM TREATMENT SERVICES LLC is a methadone clinic center in Warren, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. MILLENNIUM TREATMENT SERVICES LLC NPI is 1619148897. The provider is registered as an organization entity type.

The provider's business location address is:

23700 VAN DYKE AVE
WARREN, MI
ZIP 48089-669
Phone: (586) 758-6670
Fax: (586) 758-0243

The provider's authorized official is Anthony Cosimo Clemente .
The authorized official title is Executive Director and has the following contact phone number (586) 758-6670.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.

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	261QM2800X	Clinic/Center	Methadone	500371	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500371	MEDICAID	MICHIGAN
2	OP12910	MEDICARE PIN	MICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »