THERAPEUTICS, LLC
Ambulatory Health at Dennis Ct, Wixom, MI

License number
Michigan SA0631371
Category
Ambulatory Health
Type
Methadone
Owner
Name: MRS. DEIDRE VIAN GOLDSMITH CRNA
Title: PROGRAM DIRECTOR
Phone: (248) 525-6832
Address
Address
50222 Dennis Ct, Wixom, MI 48393
National Provider ID: 1902284193
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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