Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Street Life Recovery Program

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1982460234

Street Life Recovery Program is a Mental Health Clinic/Center (Including Community Mental Health Center) in Southgate, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

14703 Allen Rd Ste 104
Southgate, MI 48195-2594
Phone: (734) 496-5599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1982460234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Robinson — Executive Director · (734) 262-2753
NPI enumeratedFebruary 26, 2024
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address14703 Allen Rd Ste 104, Southgate, MI 48195-2594

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