NPI 1356903058
Midwest Detox Center LLC
Practice location
- Address
- 1757 Indian Wood Cir, Maumee, OH 43537-4009
- Phone
- (833) 440-8642
- Mailing address
- 10461 Mill Run Cir STE 810, Owings Mills, MD 21117-5549
Authorised official
- Name
- Allison Heaberlin
- Title
- Credentialing Specialist
- Phone
- (410) 415-3385
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1356903058
- Entity type
- Organization
- NPI issued
- 2 Jul 2019
- 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.