P.E.A.C.E. In Young Life Center, Inc. in Detroit - Substance Abuse Treatment, Children
P.E.A.C.E. In Young Life Center, Inc. - NPI 1891851226
P.E.A.C.E. In Young Life Center, Inc. is a Substance Abuse Treatment, Children in Detroit, Michigan. P.E.A.C.E. In Young Life Center, Inc. practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for P.E.A.C.E. In Young Life Center, Inc. is 1891851226. The last update date is 2007-08-01.
P.E.A.C.E. In Young Life Center, Inc.'s current location address is 15471 Cloverlawn St, Detroit, Michigan. You can contact this provider via phone number 3133453853 and fax number 3133454358. The mailing address for P.E.A.C.E. In Young Life Center, Inc. is 15471 Cloverlawn St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | P.E.A.C.E. In Young Life Center, Inc. |
|---|---|
| Address | 15471 Cloverlawn St, Detroit, Michigan |
| Phone Number | 3133453853 |
| Fax Number | 3133454358 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gaines Mitzi Marchelle |
| Telephone Number | 3132209033 |
NPI Number Detail
| NPI Number | 1891851226 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 15471 Cloverlawn St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482381146 |
| Phone Number | 3133453853 |
| Fax Number | 3133454358 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
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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 children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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Post Comment/ Review Below
What is the unique identification code assigned to P.E.A.C.E. In Young Life Center, Inc. by the Centers for Medicare & Medicaid Services?
The P.E.A.C.E. In Young Life Center, Inc. has been issued the NPI (National Provider Identifier) 1891851226. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of P.E.A.C.E. In Young Life Center, Inc.?
The P.E.A.C.E. In Young Life Center, Inc. is situated at 15471 Cloverlawn St, in the city of Detroit, state of MI, with the zip code 482381146.
What is P.E.A.C.E. In Young Life Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The P.E.A.C.E. In Young Life Center, Inc.'s area of specialization is Substance Abuse Treatment, Children, and the corresponding taxonomy code that categorizes this field of practice is 3245S0500X.
On what date did P.E.A.C.E. In Young Life Center, Inc. receive its 1891851226 assignment from the Centers for Medicare & Medicaid Services?
The P.E.A.C.E. In Young Life Center, Inc. was assigned its 1891851226 on 2006-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to P.E.A.C.E. In Young Life Center, Inc. most recently updated or revised?
The details related to P.E.A.C.E. In Young Life Center, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2007-08-01.