Organization
INTEGRATED HEALTH & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUCHERIA MBATA NP (OWNER)
(734) 210-3246
Entity
Organization
Contact information
Practice address
106 SOUTH ST, BELLEVILLE, MI 48111-2946
(734) 210-3246
Mailing address
PO BOX 264, TAYLOR, MI 48180-0264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
04/30/2024
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