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Organization

STATEGIES OF LIFE OUTREACH CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP SIMMONS (PRESIDENT)
(313) 231-6049
Entity
Organization

Contact information

Practice address
17850 MCDOUGALL ST, DETROIT, MI 48212-1040
(313) 887-1330
Mailing address
17850 MCDOUGALL ST, DETROIT, MI 48212-1040

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
823101
MI

Other

Enumeration date
01/04/2010
Last updated
01/04/2010
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