Organization · Type 2 NPI
Shining Star LLC
Mental Illness Community Based Residential Treatment Facility · Detroit, MI
NPI number
1659678480
Active
Practice location
1325 Cadillac Blvd
Detroit, MI 48214-3105
Fax (313) 557-2751
Mailing address
PO Box 15122
Detroit, MI 48215-0122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None 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 1659678480
Shining Star LLC's National Provider Identifier is 1659678480, issued on Feb 14, 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 Jun 3, 2016.