Teri Laurie Colvin - Detroit, MI

Teri Laurie Colvin

Mental Illness Community Based Residential Treatment Facility in Detroit, Michigan

NPI 1295373504

Teri Laurie Colvin is a Mental Illness Community Based Residential Treatment Facility based in Detroit, MI. Teri Laurie Colvin practices in Detroit, MI. The NPI Number for Teri Laurie Colvin is 1295373504 and holds a License No. 820174 (Michigan).

The current practice location address for Teri Laurie Colvin is 1852 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-894-8444.

Location: 1852 W Grand Blvd, Detroit, MI, 48208-1006

NPI Number

1295373504

Provider Name

Teri Laurie Colvin

Credential

Provider Entity Type

Individual

Gender

Female

Address

1852 W Grand Blvd, Detroit, MI, 48208-1006

Phone Number

313-894-8444

Fax Number

Provider Enumeration Date

12/17/2019

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
38-1917278	05	MI

Address

1852 W Grand Blvd

City

Detroit

State

Michigan

Zip

48208-1006

Phone Number

313-894-8444

Fax Number

Address

1852 W Grand Blvd

City

Detroit

State

Michigan

Zip

48208-1006

Phone Number

313-894-8444

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

820174 (Michigan)

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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