NPI | 1659753085 |
---|---|
Doing Business As | CONNER CREEK LIFE SOLUTIONS LLC |
Entity Type | Organization |
Authorized Contact | ANDREW MCLEMORE CEO 313-369-5098 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801080744) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
323P00000X Psychiatric Residential Treatment Facility | |
251S00000X | |
324500000X Substance Abuse Rehabilitation Facility | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2022-02-25 |