New Light Recoveruy Center,inc.

NPI 1093839862 - Counselor - 101YA0400X

NPI Details
NPI 1093839862
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SERGE SERGE
Position MEDICAL DIRECTOR
Phone (313) 867-8015
Fax
Practice Location
300 W MCNICHOLS RD
DETROIT MI, 48203-2703, US
Phone (313) 867-8015
Fax
Business Location
35874 CONGRESS RD
FARMINGTON HILLS MI, 48335-1224, US
Phone
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Michigan
License Number 82164
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According to our database, New Light Recoveruy Center,inc. NPI is 1093839862, taxonomy code is 101YA0400X and license number is 82164, license state is located at Michigan. New Light Recoveruy Center,inc. physically located at 300 W Mcnichols Rd, Detroit MI, 48203-2703. NPI Number 1033115704 has the healthcare provider type.

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1093839862 NPI number is provided on an as is basis without warranty of any kind. 1093839862 is maintained by the National Plan & Provider Enumeration System. The contents of New Light Recoveruy Center,inc. are for informational purposes only.