Organization
PEACE IN YOUNG LIFE CENTER, INC.
Active
Other names
Peace House
Organization subpart
No
Provider details
NPI number
Authorized official
MARCHELLE MITZI GAINES MSW (CEO)
(313) 220-9033
Entity
Organization
Contact information
Practice address
15471 CLOVERLAWN ST, DETROIT, MI 48238-1146
(313) 220-9033
(313) 345-4358
Mailing address
15471 CLOVERLAWN ST, DETROIT, MI 48238-1146
(706) 263-2533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
12/05/2007
Last updated
02/25/2013
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