Organization
FAITH'S PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAITH GROVES M.A. (PRESIDENT)
(313) 410-3247
Entity
Organization
Contact information
Practice address
16725 BLACKSTONE STREET, DETROIT, MI 48219
(313) 610-3247
Mailing address
5100 WOODRUN COURT, WEST BLOOMFIELD, MI 48323
(248) 681-7122
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
AS82036913
MI
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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