Organization
GENERATIONS WELLNESS CENTER
Active
Other names
Safehaus Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN JOHN KOLODCHIN PHD (CEO)
(586) 477-7472
Entity
Organization
Contact information
Practice address
26803 RYAN RD, WARREN, MI 48091-4075
(586) 477-7472
Mailing address
26803 RYAN RD, WARREN, MI 48091-4075
(586) 477-7472
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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