Organization · Type 2 NPI

Shining Star LL

Mental Illness Community Based Residential Treatment Facility · Detroit, MI

NPI number 1356648034 Active

Practice location

533 Mcdougall St
Detroit, MI 48207-3912

Call (313) 567-0121 Map

Mailing address

3430 E Jefferson Ave, Suite # 401
Detroit, MI 48207-4233

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

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 1356648034

Shining Star LL's National Provider Identifier is 1356648034, issued on Feb 16, 2011. 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 Feb 16, 2011.