Changes1, Pllc

NPI #1578960480 in Detroit, Michigan

Provider Information

NPI Number
1578960480
Entity Type
Organization
Organization Name
Changes1, Pllc
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Nov 21, 2014
Last Updated
Mar 3, 2015

Practice Location

Address
19940 CONANT
Address 2
STE A, B, & C
ZIP Code
48234-1494
Phone
(313) 305-4180

Authorized Official

Name
MS. NAOMI DIANA TAYLOR, LPN
Title
VICE-PRESIDENT
Phone
(313) 695-3951

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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