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Organization

LIFE CHALLENGE OF MICHIGAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK MOSLEY (EXECUTIVE DIRECTOR)
(517) 437-0077
Entity
Organization

Contact information

Practice address
2220 SPRING RD, HILLSDALE, MI 49242-9411
(517) 437-0077
Mailing address
2220 SPRING ROAD, HILLSDALE, MI 49242

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300031
MI

Other

Enumeration date
07/28/2010
Last updated
07/28/2010
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