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Organization
WHOLE LIFE INTEGRATED RECOVERY SERVICES LLC
Active
Organization
WHOLE LIFE INTEGRATED RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKIYA MOORE LPN (DIRECTOR OF OPERATIONS)
(313) 487-5246
Entity
Organization
Contact information
Practice address
43 W AUBURN ST, ECORSE, MI 48229-1803
(313) 487-5246
Mailing address
43 W AUBURN ST, ECORSE, MI 48229-1803
(313) 487-5246
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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