Organization
THE LIGHT TREATMENT & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARICIA R CARTER (ADMINISTRATOR)
(248) 495-8985
Entity
Organization
Contact information
Practice address
5380 KREGER ST, STERLING HEIGHTS, MI 48310-5728
(248) 495-8985
Mailing address
6269 POTOMAC CIR, WEST BLOOMFIELD, MI 48322-2125
(248) 495-8985
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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