Organization
FAIRFIELD RESIDENTIAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI L LUTER LPC (ADMINISTRATOR)
(313) 550-8126
Entity
Organization
Contact information
Practice address
16554 FAIRFIELD ST, DETROIT, MI 48221-3005
(313) 861-8123
Mailing address
17141 NEW JERSEY ST, SOUTHFIELD, MI 48075-2985
(313) 550-8126
(248) 559-0974
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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