Organization
ADULT WELL BEING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIA FIESTEL CMSW (SUPPORT COORDINATOR)
(248) 361-8998
Entity
Organization
Contact information
Practice address
21555 W MCNICHOLS RD, DETROIT, MI 48219-3207
(248) 361-8998
Mailing address
5023 DURNHAM DR, WATERFORD, MI 48327-3110
(248) 361-8998
(888) 241-8113
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MI
Other
Enumeration date
06/13/2011
Last updated
07/21/2022
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