Premier Services Of Michigan, LLC
Clinic/Center, Methadone Clinic in Sterling Heights, MI. Organization (NPI-2).
NPI number1063664563
StatusActive
Last updated in NPPESFeb 10, 2024
Details
- NPI
- 1063664563
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Services Of Michigan, LLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2008
- Certification date
- Feb 10, 2024
- Last updated
- Feb 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Community Medical Services (Doing Business As)
Practice location
34208 Van Dyke AveSterling Heights, MI 48312-4647
Phone 586-758-6670 · Fax 800-377-9518
Mailing address
8444 N 90th St Ste 100Scottsdale, AZ 85258-4437
Phone 602-248-8886
Authorized official
Cindy Gaither
Vp Revenue Cycle Mgmt
6022488886
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