Organization
ROOT & BRANCH WELLNESS COLLABORATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE MCNULTY LMSW (MEMBER)
(734) 743-2286
Entity
Organization
Contact information
Practice address
266 CONSTITUTION ST, CANTON, MI 48188-6719
(734) 743-2286
Mailing address
266 CONSTITUTION ST, CANTON, MI 48188-6719
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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