Search › Michigan › 101YA0400X
David Masters, CADC & ICADC
NPI 1639589757 · on the registry since 2014 · sole proprietor
Practice
- Address
- 9605 Grand River Ave
Detroit, MI 48204 - Phone
- (313) 834-5930
- Organisation at this address
- Nardin Park Recovery Center,Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan