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Organization
THE NELSON CENTER FOR MINDFUL SYNERGY
Active
Organization
THE NELSON CENTER FOR MINDFUL SYNERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROSE HUMPHREYS LLMSW (PRESIDENT/CEO)
(313) 903-3955
Entity
Organization
Contact information
Practice address
517 ARDMORE DR, FERNDALE, MI 48220-3321
(313) 903-3955
Mailing address
517 ARDMORE DR, FERNDALE, MI 48220-3321
(313) 903-3955
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861680456
—
MI
Enumeration date
06/27/2022
Last updated
06/27/2022
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