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Patricia Marie Lewis
Substance Abuse Rehabilitation Facility in Detroit, Michigan
NPI 1679942080

Patricia Marie Lewis is a Substance Abuse Rehabilitation Facility based in Detroit, MI. Patricia Marie Lewis practices in Detroit, MI. The NPI Number for Patricia Marie Lewis is 1679942080 and holds a License No. L528696 (Michigan).

The current practice location address for Patricia Marie Lewis is 1852 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-894-8444 and via fax at 313-894-5542.

Location: 1852 W Grand Blvd, Detroit, MI, 48208-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679942080
Provider Name
Patricia Marie Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1852 W Grand Blvd, Detroit, MI, 48208-1006
Phone Number
313-894-8444
Fax Number
313-894-5542
Provider Enumeration Date
09/16/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
38-1917278 05 MI
institution
Provider Business Practice Location Address Details
Address
1852 W Grand Blvd
City
Detroit
State
Michigan
Zip
48208-1006
Phone Number
313-894-8444
Fax Number
313-894-5542
person
Provider Business Mailing Address Details
Address
1852 W Grand Blvd
City
Detroit
State
Michigan
Zip
48208-1006
Phone Number
313-894-8444
Fax Number
313-894-5542
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
L528696 (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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