PEACE IN YOUNG LIFE CENTER INC. NPI 1386826949

NPI Information

NPI: 1386826949
Provider Name: PEACE IN YOUNG LIFE CENTER, INC.

Doing Business As: PEACE HOUSE

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
15471 CLOVERLAWN ST
DETROIT, MI
ZIP 48238
Phone: (313) 220-9033
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PEACE IN YOUNG LIFE CENTER, INC. is an addiction (substance use disorder) counselor in Detroit, MI. PEACE IN YOUNG LIFE CENTER, INC. NPI is 1386826949. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Peace House.

The provider's business location address is:

15471 CLOVERLAWN ST
DETROIT, MI
ZIP 48238-146
Phone: (313) 220-9033
Fax: (313) 345-4358

The provider's authorized official is Marchelle Mitzi Gaines .
The authorized official title is Ceo and has the following contact phone number (313) 220-9033.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 2/25/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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