Organization · Type 2 NPI

P.e.a.c.e. In Young Life Center, Inc.

Children's Substance Abuse Rehabilitation Facility · Detroit, MI

NPI number 1891851226 Active

Practice location

15471 Cloverlawn St, Ste 101
Detroit, MI 48238-1146

Fax (313) 345-4358

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1891851226

P.e.a.c.e. In Young Life Center, Inc.'s National Provider Identifier is 1891851226, issued on Dec 29, 2006. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Detroit, MI. The record was last updated on Aug 1, 2007.