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LIFE CHALLENGE OF MICHIGAN NPI 1508170978


NPI Information

NPI: 1508170978
Provider Name: LIFE CHALLENGE OF MICHIGAN
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 23D2157364

Address:
2220 SPRING RD
HILLSDALE, MI
ZIP 49242
Phone: (517) 437-0077
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LIFE CHALLENGE OF MICHIGAN is a substance abuse rehabilitation facility in Hillsdale, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LIFE CHALLENGE OF MICHIGAN NPI is 1508170978. The provider is registered as an organization entity type.

The provider's business location address is:

2220 SPRING RD
HILLSDALE, MI
ZIP 49242-411
Phone: (517) 437-0077

The provider's authorized official is Jack Mosley .
The authorized official title is Executive Director and has the following contact phone number (517) 437-0077.

The CLIA number assigned to this NPI record is 23D2157364 - other - reseidential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 7/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility300031MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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