Organization
CB WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE ANN GRAVES (ADMIN)
(248) 709-9640
Entity
Organization
Contact information
Practice address
7 W SQUARE LAKE RD STE 111, BLOOMFIELD HILLS, MI 48302-0462
(248) 452-5640
(248) 452-5681
Mailing address
2681 DORCHESTER RD, BIRMINGHAM, MI 48009-5990
(517) 215-4900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
08/25/2024
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