Individual
MRS. TINA MARIE GRETKIEREWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 FAIRHOLME RD, GROSSE POINTE WOODS, MI 48236-2362
(313) 469-9313
Mailing address
1595 FAIRHOLME RD, GROSSE POINTE WOODS, MI 48236-2362
(313) 469-9313
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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