Healthcare Provider Details

I. General information

NPI: 1811020035
Provider Name (Legal Business Name): METROPOLITAN REHABILITATION CLINICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20820 GREENFIELD RD STE 100
OAK PARK MI
48237-3051
US

IV. Provider business mailing address

20820 GREENFIELD RD STE 100
OAK PARK MI
48237-3051
US

V. Phone/Fax

Practice location:
  • Phone: 248-967-4310
  • Fax: 248-967-4301
Mailing address:
  • Phone: 248-967-4310
  • Fax: 248-967-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number630417
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number630417
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number630417
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number4301037643
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number630417
License Number StateMI
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6804086872
License Number StateMI
# 7
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number630417
License Number StateMI
# 8
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number630417
License Number StateMI

VIII. Authorized Official

Name: AMMAR MEHDI KHAN
Title or Position: PRESIDENT
Credential: JD
Phone: 248-967-4310