Individual provider · Type 1 NPI

Patricia Marie Lewis

Substance Abuse Rehabilitation Facility · Detroit, MI

NPI number 1679942080 Active

Practice location

1852 W Grand Blvd
Detroit, MI 48208-1006

Call (313) 894-8444 Map

Fax (313) 894-5542

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XL528696 (MI)
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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 1679942080

Patricia Marie Lewis's National Provider Identifier is 1679942080, issued on Sep 16, 2015. 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 Sep 16, 2015.