OrganizationActive
Continuous Independence Program
NPI 1780980318 · Mental Illness Community Based Residential Treatment Facility · Pontiac, MI
Provider details
- NPI number
- 1780980318
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Coleman, Clinical Director(313) 929-3422
- License
- 6401011745 (MI)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 6401011745 (MI)
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
28 N Francis Ave
Pontiac, MI 48342-2721
Phone: (248) 499-8022
Approximate (ZIP-level) locationGet directions
Mailing address
28 N Francis Ave
Pontiac, MI 48342-2721
Registry dates
- Enumerated
- 2011-01-30
- Last updated
- 2011-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.