Organization
CHANGING LIVES AND STAYING SOBER
Active
Other names
C.L.A.S.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLA MITCHELL ND (OPERATIONS MANAGER)
(313) 784-0202
Entity
Organization
Contact information
Practice address
17405 LAHSER RD, DETROIT, MI 48219-2334
(313) 412-2160
Mailing address
17405 LAHSER RD, DETROIT, MI 48219-2334
(313) 412-2160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174H00000X
Health Educator
—
—
202D00000X
Integrative Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
SA0822584
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
08/11/2017
Last updated
05/21/2023
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