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Organization
PEACE IN YOUNG LIFE CENTER, INC.
Active
Organization
PEACE IN YOUNG LIFE CENTER, INC.
Active
Other names
Peace House
Organization subpart
No
Provider details
NPI number
Authorized official
MARCHELLE MITZI GAINES MSW (CEO)
(313) 220-9033
Entity
Organization
Contact information
Practice address
15471 CLOVERLAWN ST, DETROIT, MI 48238-1146
(313) 220-9033
(313) 345-4358
Mailing address
15471 CLOVERLAWN ST, DETROIT, MI 48238-1146
(706) 263-2533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
12/05/2007
Last updated
02/25/2013
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