| Innovative Addiction Services | |
|
3721 W Michigan Ave Ste 200 Lansing MI 48917-3600 | |
| (517) 515-6176 | |
| Not Available |
| Full Name | Innovative Addiction Services |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3721 W Michigan Ave Ste 200, Lansing, Michigan |
| Authorized Official Name and Position | Ricardo David Tillery (CEO) |
| Authorized Official Contact | 5177033387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Addiction Services 3721 W Michigan Ave Ste 200 Lansing MI 48917-3600 Ph: (517) 515-6176 | Innovative Addiction Services 3721 W Michigan Ave Ste 200 Lansing MI 48917-3600 Ph: (517) 515-6176 |
| NPI Number | 1356931513 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356931513 | NPI | - | NPPES |
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