Eastside Substance Abuse Clinic
NPI #1265525265 in Muskegon Heights, Michigan
Provider Information
- NPI Number
- 1265525265
- Entity Type
- Organization
- Organization Name
- Eastside Substance Abuse Clinic
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 445 E SHERMAN BLVD
- City
- Muskegon Heights
- State
- Michigan
- ZIP Code
- 49444-2203
- Phone
- (231) 739-4359
Authorized Official
- Name
- MR. DARIEN SMITH SMITH
- Title
- PROGRAM DIRECTOR
- Phone
- (231) 739-4359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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