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TRANSITIONAL LIFESTYLES COMMUNITY INC NPI 1790873347


NPI Information

NPI: 1790873347
Provider Name: TRANSITIONAL LIFESTYLES COMMUNITY, INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
115 W 5TH AVE
SUITE 1
FLINT, MI
ZIP 48503
Phone: (810) 908-7320
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TRANSITIONAL LIFESTYLES COMMUNITY, INC is a substance abuse rehabilitation facility in Flint, MI. The provider is 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. TRANSITIONAL LIFESTYLES COMMUNITY, INC NPI is 1790873347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 W 5TH AVE
SUITE 1
FLINT, MI
ZIP 48503-472
Phone: (810) 908-7320
Fax: (810) 877-6453

The provider's authorized official is Deborah Ann Brooks .
The authorized official title is Director and has the following contact phone number (810) 908-7320.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 1/19/2011.


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
11041C0700XSocial WorkerClinical6801082709MICHIGANNo
2324500000XSubstance Abuse Rehabilitation Facility250346MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MI2052MEDICARE UPINMICHIGAN

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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