Organization · Type 2 NPI

Lakeridge Village, Inc.

Substance Abuse Rehabilitation Facility · Detroit, MI

NPI number 1144469461 Active

Practice location

15941 Fairfield St
Detroit, MI 48238-4123

Call (313) 345-4310 Map

Fax (313) 345-4315

Mailing address

15025 Fenkell St
Detroit, MI 48227-2647

Other practice locations

15025 Fenkell St, Detroit, MI 48227-2647 · (313) 345-4310

Specialties and licenses

Taxonomy	Code	License
Lodging Provider	177F00000X	None listed
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Voluntary or Charitable Agency	251V00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	822985 (MI)
Non-emergency Medical Transport (VAN)	343900000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1144469461

Lakeridge Village, Inc.'s National Provider Identifier is 1144469461, issued on Feb 10, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Detroit, MI. The record was last updated on Jan 26, 2026.