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Organization

FAMILY HEALTH & WELLNESS COMMUNITY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARIO DENON TATUM MA,LLBSW (SOCIAL WORKER/CONSULTANT)
(734) 778-4055
Entity
Organization

Contact information

Practice address
3946 CADIEUX RD, DETROIT, MI 48224-4010
(734) 778-4055
Mailing address
3946 CADIEUX RD, DETROIT, MI 48224-4010
(734) 778-4055

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6802087475
MI

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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