Organization
NEW LIGHT RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC CALLAND JR. CCS (CLINICAL SUPERVISOR)
(313) 867-8015
Entity
Organization
Contact information
Practice address
300 W MCNICHOLS RD, DETROIT, MI 48203-2703
(313) 867-8015
(313) 867-8040
Mailing address
8015 AGNES ST, APT. 16, DETROIT, MI 48214-3962
(313) 867-8015
(313) 867-8040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
821624
MI
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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