Organization
GROWTH WORKS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA WHEELER (CHIEF FINANCIAL OFFICER)
(248) 216-6451
Entity
Organization
Contact information
Practice address
271 S MAIN STREET, PLYMOUTH, MI 48170
(734) 455-4095
(734) 455-1254
Mailing address
271 S MAIN STREET, PLYMOUTH, MI 48170
(734) 455-4095
(734) 455-1254
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
4301043592
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119549
—
MI
Enumeration date
01/05/2007
Last updated
09/23/2024
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