Organization
AGENCY FOR GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILONA PHILLIPS (OWNER)
(734) 478-7358
Entity
Organization
Contact information
Practice address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
(734) 478-7358
Mailing address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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