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STREET LIFE RECOVERY PROGRAM
NPI 1982460234
Clinic/Center - Mental Health (Including Community Mental Health Center) in Southgate, MI

Active since February 26, 2024
14703 ALLEN RD STE 104, SOUTHGATE, MI 48195(734) 496-5599 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, May 7, 2025 (2 updates tracked since 2025).

About Street Life Recovery Program NPPES

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

STREET LIFE RECOVERY PROGRAM (NPI 1982460234) is a healthcare organization registered as a mental health (including community mental health center) in Southgate, Michigan and active in the NPI registry since February 2024. The organization lists Edward Ian Robinson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1982460234
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSTREET LIFE RECOVERY PROGRAM
Location Address14703 ALLEN RD STE 104Southgate, MI 48195-2594
Mailing Address14703 Allen Rd Ste 104Southgate, MI 48195-2594 · (734) 262-2753
Phone(734) 496-5599
Organization SubpartNo
Authorized OfficialEdward Ian RobinsonExecutive Director · (734) 262-2753
Enumeration DateFebruary 26, 2024
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1982460234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
14703 ALLEN RD STE 104, Southgate, MI 48195
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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 Street Life Recovery Program's NPI number?

The NPI number for Street Life Recovery Program is 1982460234. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Street Life Recovery Program located?

Street Life Recovery Program is located at 14703 Allen Rd Ste 104, Southgate, MI 48195. The listed phone number is (734) 496-5599.

What is Street Life Recovery Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Street Life Recovery Program was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.