LUMINESCENCE CENTER OF MICHIGAN LLC NPI 1952856650

NPI Information

NPI: 1952856650
Provider Name: LUMINESCENCE CENTER OF MICHIGAN LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
16085 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 476-4849
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LUMINESCENCE CENTER OF MICHIGAN LLC is a methadone clinic center in Southgate, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. LUMINESCENCE CENTER OF MICHIGAN LLC NPI is 1952856650. The provider is registered as an organization entity type.

The provider's business location address is:

16085 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195-950
Phone: (734) 476-4849

The provider's authorized official is Noura Abdulkader .
The authorized official title is Authorized Official and has the following contact phone number (734) 476-4849.

The enumeration date for this NPI number is 8/23/2016 and was last updated on 8/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM2800X	Clinic/Center	Methadone			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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