Midwest Detox Center LLC
NPI #1356903058 in Maumee, Ohio
Provider Information
- NPI Number
- 1356903058
- Entity Type
- Organization
- Organization Name
- Midwest Detox Center LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MIDWEST DETOX CENTER LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 2, 2019
- Last Updated
- Jan 12, 2024
Practice Location
Authorized Official
- Name
- ALLISON HEABERLIN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (410) 415-3385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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