OrganizationActive
Freedom Villa Inc
NPI 1497282800 · Mental Illness Community Based Residential Treatment Facility · Waterford, MI
Provider details
- NPI number
- 1497282800
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Olayemi Sanni, Administrative Director(248) 895-7028
- License
- AS630377897 (MI)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense AS630299536 (MI)
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
3509 Elizabeth Lake Rd Ste 102
Waterford, MI 48328-3003
Phone: (248) 681-3658
Fax: (248) 681-3658
Approximate (ZIP-level) locationGet directions
Mailing address
3509 Elizabeth Lake Rd Ste 102
Waterford, MI 48328-3003
Registry dates
- Enumerated
- 2017-05-16
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.