Organization
OUR WELLNESS HUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRESHA PATMAN (EXECUTIVE DIRECTOR)
(917) 288-4772
Entity
Organization
Contact information
Practice address
17401 E 10 MILE RD, EASTPOINTE, MI 48021-1256
(866) 336-9355
Mailing address
17401 E 10 MILE RD, EASTPOINTE, MI 48021-1256
(866) 336-9355
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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