Organization
WHOLE BODY HEALTH AND WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VARONICA FREEMAN (BILLING MANAGER)
(513) 260-9643
Entity
Organization
Contact information
Practice address
17250 W 12 MILE RD, SOUTHFIELD, MI 48076-2127
(248) 632-6737
Mailing address
22341 W 8 MILE RD, DETROIT, MI 48219-1217
(248) 632-6737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SA0823273
MI
101YM0800X
Mental Health Counselor
Primary
6801011245
MI
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
SA0823273
MI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
SA0823273
MI
Other
Enumeration date
11/10/2015
Last updated
07/21/2022
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