Peace House

LBN: Peace In Young Life Center, Inc.
Peace House is an health care organization with primary practice located at 15471 Cloverlawn St , Detroit MI 48238-1146. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Peace In Young Life Center, Inc. can be contacted via phone (313) 220-9033, or through Gaines, Marchelle Mitzi via phone (313) 220-9033.

Contact Information

Primary practice address
15471 Cloverlawn St Detroit MI 48238-1146
Phone: (313) 220-9033
Fax: (313) 345-4358
Website:
Map and Directions
Authorized official contact:
Name: Gaines, Marchelle Mitzi MSW
Phone: (313) 220-9033

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Michigan

Profile Details

NPI number 1386826949
LBN Legal business name Peace In Young Life Center, Inc.
DBA Doing business as Peace House
Authorized official Gaines, Marchelle Mitzi MSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Feb 25th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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