Pro Med Substance Abuse Program Llc

LBN: Pro Med Substance Abuse Program Llc
Pro Med Substance Abuse Program Llc is an health care organization with primary practice located at 2891 E. Maple Rd. Suite 200 , Troy MI 48083. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Pro Med Substance Abuse Program Llc can be contacted via phone (248) 726-0127, or through Wolodkowicz, Mark via phone (248) 726-0127.

Contact Information

Primary practice address
2891 E. Maple Rd. Suite 200 Troy MI 48083
Phone: (248) 726-0127
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wolodkowicz, Mark
Phone: (248) 726-0127

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1861748238
LBN Legal business name Pro Med Substance Abuse Program Llc
DBA Doing business as
Authorized official Wolodkowicz, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2012
Last updated Nov 1st, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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