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Independent Life Supportive Services
Mental Illness Community Based Residential Treatment Facility in Lake Orion, Michigan
NPI 1417081167

Independent Life Supportive Services is a Mental Illness Community Based Residential Treatment Facility based in Lake Orion, MI. Independent Life Supportive Services practices in Lake Orion, MI. The NPI Number for Independent Life Supportive Services is 1417081167 and holds a License No. (Michigan).

The current practice location address for Independent Life Supportive Services is 2912 Ravine Dr, Lake Orion, MI and can be reached out via phone at 248-391-2787. You can also correspond with Independent Life Supportive Services through the mailing address at 2912 RAVINE DR, LAKE ORION, MI - 48360-2392 (mailing address contact number: 248-391-2787).

Location: 2912 Ravine Dr, Lake Orion, MI, 48360-2392
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417081167
Provider Name
Independent Life Supportive Services
Credential
Provider Entity Type
Organization
Address
2912 Ravine Dr, Lake Orion, MI, 48360-2392
Phone Number
248-391-2787
Fax Number
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2912 Ravine Dr
City
Lake Orion
State
Michigan
Zip
48360-2392
Phone Number
248-391-2787
Fax Number
person
Provider Business Mailing Address Details
Address
2912 Ravine Dr
City
Lake Orion
State
Michigan
Zip
48360-2392
Phone Number
248-391-2787
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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