Organization
GUIDING LIGHT SOBER LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL DEWBERRY BSW (CEO)
(313) 341-1088
Entity
Organization
Contact information
Practice address
5613 LIVERNOIS AVE, DETROIT, MI 48210-1774
(313) 341-1088
(313) 894-4602
Mailing address
15805 BAYLIS ST, DETROIT, MI 48238-3915
(313) 341-1088
(313) 894-4602
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
822854
MI
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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