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

NPI #1891851226 in Detroit, Michigan

Provider Information

NPI Number: 1891851226
Entity Type: Organization
Organization Name: P.e.a.c.e. in Young Life Center, Inc.
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Dec 29, 2006
Last Updated: Aug 1, 2007

Practice Location

Address: 15471 CLOVERLAWN ST
Address 2: STE 101
City: Detroit
State: Michigan
ZIP Code: 48238-1146
Phone: (313) 345-3853

Authorized Official

Name: MS. MARCHELLE MITZI GAINES
Title: CEO
Phone: (313) 220-9033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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