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Organization
GENERATIONS WELLNESS CENTER
Active
Organization
GENERATIONS WELLNESS CENTER
Active
Other names
Safehaus Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN JOHN KOLODCHIN PHD (CEO)
(586) 477-7472
Entity
Organization
Contact information
Practice address
26803 RYAN RD, WARREN, MI 48091-4075
(586) 477-7472
Mailing address
26803 RYAN RD, WARREN, MI 48091-4075
(586) 477-7472
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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