Organization
MAPLEWOOD SUPPORTIVE LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY STRONG-STOKES LMSW, CBIS, C-ASWCM (PRESIDENT-CEO)
(734) 612-5957
Entity
Organization
Contact information
Practice address
21755 MAPLEWOOD DR, SOUTHFIELD, MI 48033-3601
(734) 612-5957
(734) 956-4155
Mailing address
37637 5 MILE RD, #223, LIVONIA, MI 48154-1543
(734) 612-5957
(734) 956-4155
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
AS630295056
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
AS630295056
MI
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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