OrganizationActive
Angels of the Heart
NPI 1124342852 · Mental Illness Community Based Residential Treatment Facility · Riverview, MI
Provider details
- NPI number
- 1124342852
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Stephen Randall, Consultant(313) 529-7002
- License
- AS80294958 (MI)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense AS80294958 (MI)
Residential Treatment Facilities
Practice location
18870 Church Hill Dr
Riverview, MI 48193-1702
Phone: (734) 589-2313
Fax: (734) 225-6495
Approximate (ZIP-level) locationGet directions
Mailing address
17373 Roxbury Ave
Southfield, MI 48075-7610
Registry dates
- Enumerated
- 2010-03-24
- Last updated
- 2010-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.