Whalio Doctors

NPI 1033608195

Midwest Detox Center LLC

Organisation Substance Abuse Rehabilitation Facility Maumee, OH

Practice location

Address
1757 Indian Wood Cir, Maumee, OH 43537-4009
Phone
(866) 806-0308
Mailing address
10461 Mill Run Cir STE 810, Owings Mills, MD 21117-5549

Authorised official

Name
Kim Brown
Title
Director of Compliance
Phone
(870) 243-7219

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 01-7617 (OH)

Registry record

NPI
1033608195
Entity type
Organization
NPI issued
4 May 2018
Record last updated
12 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.