OrganizationActive
Conner Creek Life Solutions LLC
NPI 1164917639 · Substance Abuse Rehabilitation Facility · Detroit, MI
Provider details
- NPI number
- 1164917639
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Andrew Mclemore, Ceo(313) 369-5800
- License
- SA0823265 (MI)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4777 E Outer Dr
Detroit, MI 48234-3241
Phone: (313) 369-5800
Fax: (313) 859-2000
Approximate (ZIP-level) locationGet directions
Mailing address
4777 East Outer Drive
Detroit, MI 48234
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.