Organization
CENTURY LIVING INC
Active
Organization
CENTURY LIVING INC
Active
Other names
Conner Creek Life Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MCLEMORE JR. (CEO)
(313) 369-5098
Entity
Organization
Contact information
Practice address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-5800
(313) 859-2000
Mailing address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-5800
(313) 859-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801080744
MI
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659753085
—
MI
Enumeration date
06/22/2015
Last updated
02/25/2022
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