Organization
WISDOM RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELENA KAY AUSTIN (PRESIDENT)
(810) 650-4084
Entity
Organization
Contact information
Practice address
11009 FOLEY RD, EMMETT, MI 48022-2004
(810) 650-4084
Mailing address
11009 FOLEY ROAD, EMMETT, MI 48022
(810) 650-4084
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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