New Light Recovery Center, Inc. | |
300 W Mcnichols Rd Detroit MI 48203-2703 | |
(313) 867-8015 | |
(313) 867-8040 |
Full Name | New Light Recovery Center, Inc. |
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Speciality | Counselor |
Location | 300 W Mcnichols Rd, Detroit, Michigan |
Authorized Official Name and Position | Serge Jean-louis (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3138678015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Light Recovery Center, Inc. 300 W Mcnichols Rd Detroit MI 48203-2703 Ph: (313) 867-8015 | New Light Recovery Center, Inc. 300 W Mcnichols Rd Detroit MI 48203-2703 Ph: (313) 867-8015 |
NPI Number | 1437236940 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7012052111 |
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Medicare Enrollment ID | O20200326003081 |
Identifier | Type | State | Issuer |
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1437236940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | 821624 (Michigan) | Primary |
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