Organization
GROWTH WORKS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA M WHEELER (CHIEF FINANCIAL OFFICER)
(248) 216-6451
Entity
Organization
Contact information
Practice address
271 S MAIN ST, PLYMOUTH, MI 48170-1637
(734) 455-4095
(734) 455-2664
Mailing address
271 S MAIN ST, PLYMOUTH, MI 48170-1637
(734) 455-4095
(734) 455-2664
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251B00000X
Case Management Agency
Primary
CB820250537
MI
253J00000X
Foster Care Agency
CB820250537
MI
324500000X
Substance Abuse Rehabilitation Facility
820019
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
MI
Enumeration date
09/23/2009
Last updated
09/23/2024
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