Organization
THE WISE DECISION FITNESS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STERLING WISE (OWNER)
(313) 544-8073
Entity
Organization
Contact information
Practice address
1045 COOK RD, GROSSE POINTE WOODS, MI 48236-2509
(313) 444-9348
Mailing address
2127 LENNON ST, GROSSE POINTE WOODS, MI 48236-1657
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
06/23/2022
Last updated
06/23/2022
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