# MAPLEWOOD SUPPORTIVE LIVING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245508761
- **Authorized official:** MS. DOROTHY STRONG-STOKES LMSW, CBIS, C-ASWCM (PRESIDENT-CEO)
- **Authorized official phone:** (734) 612-5957

## Contact information

- **Practice address:** 21755 MAPLEWOOD DR, SOUTHFIELD, MI 48033-3601
- **Practice address phone:** (734) 612-5957
- **Practice address fax:** (734) 956-4155
- **Mailing address:** 37637 5 MILE RD, \#223, LIVONIA, MI 48154-1543
- **Mailing address phone:** (734) 612-5957
- **Mailing address fax:** (734) 956-4155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | AS630295056 | MI | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | AS630295056 | MI | — |

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 12/12/2011