Organization
TURNING LEAF RESIDENTIAL REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMI WAJIH AL JALLAD MPA (EXECUTIVE DIRECTOR)
(517) 393-5203
Entity
Organization
Contact information
Practice address
621 E JOLLY RD, LANSING, MI 48910-6804
(517) 393-5203
Mailing address
P.O. BOX 23218, LANSING, MI 48909
(517) 393-5203
(517) 393-8968
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301096864
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
AM610301443
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
AS330087735
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
AS330087738
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
AS330087739
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
AS3300877736
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS330092644
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
AS330092645
MI
Other
Enumeration date
04/06/2010
Last updated
04/13/2015
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