Organization
LIGHT OF RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERVILLA HARRIS (SOCIAL WORKER)
(313) 898-5938
Entity
Organization
Contact information
Practice address
2008 W GRAND BLVD, DETROIT, MI 48208-1021
(313) 898-5938
Mailing address
2008 W GRAND BLVD, DETROIT, MI 48208-1021
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
6801015887
MI
Other
Enumeration date
08/22/2007
Last updated
07/02/2013
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