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Lakeridge Village, Inc.
Substance Abuse Rehabilitation Facility in Detroit, Michigan
NPI 1144469461

Lakeridge Village, Inc. is a Substance Abuse Rehabilitation Facility based in Detroit, MI. Lakeridge Village, Inc. practices in Detroit, MI. The NPI Number for Lakeridge Village, Inc. is 1144469461 and holds a License No. 822985 (Michigan).

The current practice location address for Lakeridge Village, Inc. is 15941 Fairfield St, Detroit, MI and can be reached out via phone at 313-345-4310 and via fax at 313-345-4315.

Location: 15941 Fairfield St, Detroit, MI, 48238-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144469461
Provider Name
Lakeridge Village, Inc.
Credential
Provider Entity Type
Organization
Address
15941 Fairfield St, Detroit, MI, 48238-4123
Phone Number
313-345-4310
Fax Number
313-345-4315
Provider Enumeration Date
02/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15941 Fairfield St
City
Detroit
State
Michigan
Zip
48238-4123
Phone Number
313-345-4310
Fax Number
313-345-4315
person
Provider Business Mailing Address Details
Address
15941 Fairfield St
City
Detroit
State
Michigan
Zip
48238-4123
Phone Number
313-345-4310
Fax Number
313-345-4315
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
822985 (Michigan)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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