Organization
LIVE RITE STRUCTURED RECOVERY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MAKS (CEO/PRESIDENT)
(586) 217-5899
Entity
Organization
Contact information
Practice address
27700 GRATIOT AVE, ROSEVILLE, MI 48066-4879
(586) 217-5899
Mailing address
27700 GRATIOT AVE, ROSEVILLE, MI 48066-4879
(586) 217-5899
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
Primary
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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