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Lifespan Clinical Serivces

Community/Behavioral Health in Livonia, MI. Organization (NPI-2).

NPI number1841338217
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1841338217
Entity type
Organization (NPI-2)
Legal business name
Lifespan Clinical Serivces
Organization subpart
No
Enumeration date
Feb 1, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

18316 Middlebelt Rd
Livonia, MI 48152-5007

Phone 248-615-9730 · Fax 248-615-1260

Mailing address

18316 Middlebelt Rd
Livonia, MI 48152-5007

Phone 248-615-9730 · Fax 248-615-1260

Authorized official

Marisa F Howard
Director
2486159730

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