Individual provider · Type 1 NPI
Stacy Lynn Dickinson, BSW
Substance Abuse Rehabilitation Facility · Canton, MI
Practice location
8142 Honeytree Blvd, Bldg. 61
Canton, MI 48187-4109
Fax (734) 451-5410
Mailing address
563 Allen Rd, Lot #1
Milan, MI 48160-1516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 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.
Another provider at this address
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About NPI 1821310707
Stacy Lynn Dickinson, BSW's National Provider Identifier is 1821310707, issued on Feb 19, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Canton, MI. The record was last updated on Feb 19, 2010.