Organization
MEADOWBROOK COMMUNITY INTEGRATION II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEAVELL (OWNER)
(313) 459-3713
Entity
Organization
Contact information
Practice address
16527 CRUSE ST, DETROIT, MI 48235-4004
(313) 459-3713
Mailing address
16527 CRUSE ST, DETROIT, MI 48235-4004
(313) 459-3713
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MI
Other
Enumeration date
01/28/2014
Last updated
04/14/2014
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