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NPI 1457565202 · Substance Use Disorder Rehabilitation Clinic/Center · Ann Arbor, MI
Provider details
- NPI number
- 1457565202
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Glynis Anderson, Ceo
- License
- 810265 (MI)
Practice location
3115 Professional Drive
Ann Arbor, MI 48104
Phone: (734) 975-1602
Fax: (734) 975-1604
Mailing address
3115 Professional Drive
Ann Arbor, MI 48104
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.