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P.E.A.C.E. IN YOUNG LIFE CENTER, INC.
NPI 1891851226
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Detroit, MI

Active since December 29, 2006
15471 CLOVERLAWN ST, STE 101, DETROIT, MI 48238(313) 345-3853(313) 345-4358 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About P.e.a.c.e. In Young Life Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

P.E.A.C.E. IN YOUNG LIFE CENTER, INC. (NPI 1891851226) is a healthcare organization registered as a substance abuse treatment, children in Detroit, Michigan and active in the NPI registry since December 2006. The organization lists Marchelle Mitzi Gaines, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891851226
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameP.E.A.C.E. IN YOUNG LIFE CENTER, INC.
Location Address15471 CLOVERLAWN ST, STE 101Detroit, MI 48238-1146
Mailing Address15471 Cloverlawn StDetroit, MI 48238-1146 · (313) 345-3853 · Fax (313) 345-4358
Phone(313) 345-3853
Fax(313) 345-4358
Organization SubpartNo
Authorized OfficialMarchelle Mitzi GainesCeo · (313) 220-9033
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 1, 2007
✔ NPI 1891851226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
15471 CLOVERLAWN ST, Detroit, MI 48238
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Other Identifiers 2

Medicare UPINS38404MI
Medicare PINP41700001MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEACE IN YOUNG LIFE CENTER, INC.
Counselor (Addiction (Substance Use Disorder))
15471 CLOVERLAWN ST
DETROIT, MI 48238
Wayne County (313) 220-9033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is P.E.A.C.E. In Young Life Center, Inc.'s NPI number?

The NPI number for P.E.A.C.E. In Young Life Center, Inc. is 1891851226. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is P.E.A.C.E. In Young Life Center, Inc. located?

P.E.A.C.E. In Young Life Center, Inc. is located at 15471 Cloverlawn St Ste 101, Detroit, MI 48238. The listed phone number is (313) 345-3853.

What is P.E.A.C.E. In Young Life Center, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for P.E.A.C.E. In Young Life Center, Inc. was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.