Provider Demographics
NPI:1437545159
Name:BARWIS METHODS TRAINING CENTER OF SOUTHEAST MICHIGAN
Entity Type:Organization
Organization Name:BARWIS METHODS TRAINING CENTER OF SOUTHEAST MICHIGAN
Other - Org Name:BARWIS METHODS
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CONNOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-259-7100
Mailing Address - Street 1:44191 PLYMOUTH OAKS BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6532
Mailing Address - Country:US
Mailing Address - Phone:734-259-7100
Mailing Address - Fax:
Practice Address - Street 1:44191 PLYMOUTH OAKS BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-6530
Practice Address - Country:US
Practice Address - Phone:734-259-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care