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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