Organization · Type 2 NPI

Social Justice LR Corp Management Holdings

Community/Behavioral Health Agency · Dearborn, MI

NPI number 1922782937 Active

Practice location

600 Town Center Dr
Dearborn, MI 48126-2718

Call (501) 604-3330 Map

Mailing address

3424 Ludwig St
Little Rock, AR 72204-4470

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Corporate Health Clinic/Center	261QC1800X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

Another provider at this address

Frank M Fayz MD PCDiagnostic Radiology Physician Dearborn, MI NPI 1023360971

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NPI record

NPI: 1922782937
Entity type: Organization (Type 2)
Issued: Jun 12, 2023
Last updated: Jun 12, 2023
Status: Active

Other names

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Social Justice LR Corp Behavioral Health Unit · doing business as
Social Justice LR Corp Behavioral Health Unit · doing business as

Authorized official

Mr. Sean Davidson
Founder
(501) 604-3330

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922782937

Social Justice LR Corp Management Holdings's National Provider Identifier is 1922782937, issued on Jun 12, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Dearborn, MI. The record was last updated on Jun 12, 2023.