institution
Street Life Recovery Program
Mental Health Clinic/Center (Including Community Mental Health Center) in Southgate, Michigan
NPI 1982460234

Street Life Recovery Program is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Southgate, MI and is specialized in Mental Health (Including Community Mental Health Center). Street Life Recovery Program practices in Southgate, MI. The NPI Number for Street Life Recovery Program is 1982460234 and holds a License No. (Michigan).

The current practice location address for Street Life Recovery Program is 14703 Allen Rd Ste 104, Southgate, MI and can be reached out via phone at 734-496-5599.

Location: 14703 Allen Rd Ste 104, Southgate, MI, 48195-2594
institution
Provider Profile Details
NPI Number
1982460234
Provider Name
Street Life Recovery Program
Credential
Provider Entity Type
Organization
Address
14703 Allen Rd Ste 104, Southgate, MI, 48195-2594
Phone Number
734-496-5599
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
14703 Allen Rd Ste 104
City
State
Zip
48195-2594
Phone Number
734-496-5599
Fax Number
person
Provider Business Mailing Address Details
Address
14703 Allen Rd Ste 104
City
State
Zip
48195-2594
Phone Number
734-496-5599
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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