Organization
ALTERNATIVE COMMUNITY LIVING INC
Active
Other names
NEW PASSAGES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R JACOBS PHD (CEO)
(248) 338-7458
Entity
Organization
Contact information
Practice address
175 N. GROESBECK HWY, SUITE F, MOUNT CLEMENS, MI 48043-1562
(586) 627-0024
(586) 627-0027
Mailing address
70 LAFAYETTE ST, PONTIAC, MI 48342-2033
(248) 338-7458
(248) 338-7513
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
04/19/2011
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