Northwest Industrial Drug Rehabilitation Clinic in Detroit - Methadone
Northwest Industrial Drug Rehabilitation Clinic - NPI 1821112103
Northwest Industrial Drug Rehabilitation Clinic is a Methadone in Detroit, Michigan. Northwest Industrial Drug Rehabilitation Clinic practices all healthcare services and medical treatments related to Methadone. The NPI Number for Northwest Industrial Drug Rehabilitation Clinic is 1821112103. The last update date is 2020-08-22.
Northwest Industrial Drug Rehabilitation Clinic's current location address is 9600 Dexter Ave, Detroit, Michigan. You can contact this provider via phone number 3138946379. The mailing address for Northwest Industrial Drug Rehabilitation Clinic is 9600 Dexter Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Industrial Drug Rehabilitation Clinic |
|---|---|
| Address | 9600 Dexter Ave, Detroit, Michigan |
| Phone Number | 3138946379 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRE |
|---|---|
| Authorized Official Name | Fowler Dennis Carl |
| Credentials | M.D. |
| Telephone Number | 3138944879 |
NPI Number Detail
| NPI Number | 1821112103 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9600 Dexter Ave |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482061816 |
| Phone Number | 3138946379 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
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Post Comment/ Review Below
What is the unique identifier code issued to Northwest Industrial Drug Rehabilitation Clinic by the Centers for Medicare & Medicaid Services?
The Northwest Industrial Drug Rehabilitation Clinic has been assigned the NPI (National Provider Identifier) 1821112103. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Northwest Industrial Drug Rehabilitation Clinic is physically located?
The Northwest Industrial Drug Rehabilitation Clinic is situated at the following address: 9600 Dexter Ave, Detroit, MI 482061816.
What is Northwest Industrial Drug Rehabilitation Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Northwest Industrial Drug Rehabilitation Clinic is Methadone, and the taxonomy code that classifies this field of practice is 261Qm2800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821112103 to Northwest Industrial Drug Rehabilitation Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1821112103 to Northwest Industrial Drug Rehabilitation Clinic on 2007-03-19.
When was the information regarding Northwest Industrial Drug Rehabilitation Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northwest Industrial Drug Rehabilitation Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.