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METROPOLITAN REHABILITATION CLINICS INC. NPI 1811020035


NPI Information

NPI: 1811020035
Provider Name: METROPOLITAN REHABILITATION CLINICS, INC.

Other Name: MRC INC

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 23D2142452

Address:
21700 GREENFIELD RD
SUITE 130
OAK PARK, MI
ZIP 48237
Phone: (248) 967-4310
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METROPOLITAN REHABILITATION CLINICS, INC. is a methadone clinic center in Oak Park, 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. METROPOLITAN REHABILITATION CLINICS, INC. NPI is 1811020035. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mrc Inc.

The provider's business location address is:

21700 GREENFIELD RD
SUITE 130
OAK PARK, MI
ZIP 48237-581
Phone: (248) 967-4310
Fax: (248) 967-4301

The provider's authorized official is Ammar Mehdi Khan .
The authorized official title is President and has the following contact phone number (248) 967-4310.

The CLIA number assigned to this NPI record is 23D2142452 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 4/3/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)630417MICHIGANNo
2101YM0800XCounselorMental Health630417MICHIGANNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)630417MICHIGANNo
41041C0700XSocial WorkerClinical6804086872MICHIGANNo
5207QA0401XFamily MedicineAddiction Medicine4301037643MICHIGANNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)630417MICHIGANNo
7261QM2800XClinic/CenterMethadone630417MICHIGANYes
8261QR0405XClinic/CenterRehabilitation, Substance Use Disorder630417MICHIGANNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120445OTHERMICHIGANBLUE CROSS BLUE SHIELD

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: 11/14/2023

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