OrganizationActive
300 W. Mcnichols
NPI 1861892820 · Substance Abuse Rehabilitation Facility · Detroit, MI
Provider details
- NPI number
- 1861892820
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Serge Louis, Ceo
- License
- 821264 (MI)
Practice location
300 W Mcnichols Rd
Detroit, MI 48203-2703
Phone: (313) 867-8015
Fax: (313) 867-8040
Mailing address
300 W Mcnichols Rd
Detroit, MI 48203-2703
Registry dates
- Enumerated
- 2014-08-27
- Last updated
- 2014-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.