Organization
HOLISTIC WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODETTE ANENG NGALLA PMHNP (NURSE PRACTITIONER)
(513) 476-4691
Entity
Organization
Contact information
Practice address
220 W CONGRESS ST FL 2, DETROIT, MI 48226-3289
(513) 476-4691
Mailing address
21542 MOROSS RD, DETROIT, MI 48236-2041
(513) 476-4691
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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