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CIRCLE OF LIFE OUTREACH SERVICES NPI 1255633699


NPI Information

NPI: 1255633699
Provider Name: CIRCLE OF LIFE OUTREACH SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
15491 TROESTER ST
DETROIT, MI
ZIP 48205
Phone: (734) 961-2409
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CIRCLE OF LIFE OUTREACH SERVICES is a community behavioral health in Detroit, MI. The provider is 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CIRCLE OF LIFE OUTREACH SERVICES NPI is 1255633699. The provider is registered as an organization entity type.

The provider's business location address is:

15491 TROESTER ST
DETROIT, MI
ZIP 48205-566
Phone: (734) 961-2409

The provider's authorized official is Lawanda Drayton .
The authorized official title is Co-owner and has the following contact phone number (734) 961-2409.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 11/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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