| Independent Lifestyle Clubhouse Llc | |
|
4427 Inkster Rd Inkster MI 48141-3058 | |
| (313) 622-3287 | |
| Not Available |
| Full Name | Independent Lifestyle Clubhouse Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4427 Inkster Rd, Inkster, Michigan |
| Authorized Official Name and Position | Shondra Lynn Jackson (DIRECTOR) |
| Authorized Official Contact | 3136223287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Lifestyle Clubhouse Llc 29723 Steinhauer St Inkster MI 48141-3419 Ph: (313) 622-3287 | Independent Lifestyle Clubhouse Llc 4427 Inkster Rd Inkster MI 48141-3058 Ph: (313) 622-3287 |
| NPI Number | 1235685694 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235685694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Missionary Servants Of Divine Providence Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26629 Hopkins St, Inkster, MI 48141 Phone: 734-560-5014 Fax: 313-633-9510 | |
Milqcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Allen St, Inkster, MI 48141 Phone: 313-977-7114 Fax: 855-631-0428 | |
Renaissance Rehabilitation & Counseling Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Middlebelt Rd, Inkster, MI 48141 Phone: 313-522-9707 | |
Karing Kids Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 Inkster Rd, Inkster, MI 48141 Phone: 313-278-3008 Fax: 313-278-3836 |