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Luminescence Center Of Michigan Llc
Methadone Clinic in Southgate, Michigan
NPI 1952856650

Luminescence Center Of Michigan Llc is a Methadone Clinic based in Southgate, MI and is specialized in Methadone. Luminescence Center Of Michigan Llc practices in Southgate, MI. The NPI Number for Luminescence Center Of Michigan Llc is 1952856650 and holds a License No. (Michigan).

The current practice location address for Luminescence Center Of Michigan Llc is 16085 Dix Toledo Rd, Southgate, MI and can be reached out via phone at 734-476-4849.

Location: 16085 Dix Toledo Rd, Southgate, MI, 48195-2950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952856650
Provider Name
Luminescence Center Of Michigan Llc
Credential
Provider Entity Type
Organization
Address
16085 Dix Toledo Rd, Southgate, MI, 48195-2950
Phone Number
734-476-4849
Fax Number
Provider Enumeration Date
08/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16085 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2950
Phone Number
734-476-4849
Fax Number
person
Provider Business Mailing Address Details
Address
16085 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2950
Phone Number
734-476-4849
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
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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