| 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 Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-02-25 |