Individual provider · Type 1 NPI

Teri Laurie Colvin

Mental Illness Community Based Residential Treatment Facility · Detroit, MI

NPI number 1295373504 Active

Practice location

1852 W Grand Blvd
Detroit, MI 48208-1006

Call (313) 894-8444 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X820174 (MI)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1295373504

Teri Laurie Colvin's National Provider Identifier is 1295373504, issued on Dec 17, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Detroit, MI. The record was last updated on Dec 17, 2019.