Street Life Recovery Program

LBN: Street Life Recovery Program
Street Life Recovery Program is an health care organization with primary practice located at 14703 Allen Rd Ste 104 , Southgate MI 48195-2594. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Street Life Recovery Program can be contacted via phone (734) 496-5599, or through Robinson, Edward Ian via phone (734) 496-5599.

Contact Information

Primary practice address
14703 Allen Rd Ste 104 Southgate MI 48195-2594
Phone: (734) 496-5599
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Edward Ian PEER SUPPORT
Phone: (734) 496-5599

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1982460234
LBN Legal business name Street Life Recovery Program
DBA Doing business as
Authorized official Robinson, Edward Ian PEER SUPPORT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2024
Last updated Feb 26th, 2024 - about last year

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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