Organization
GRANDI CANCELLI 2, LLC
Active
Other names
Sage NeuroWellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONIQUE KURKOWSKI CCM (PRESIDENT)
(734) 855-7187
Entity
Organization
Contact information
Practice address
17199 N LAUREL PARK DR STE 401, LIVONIA, MI 48152-7905
(734) 855-7187
(734) 293-0086
Mailing address
17199 N LAUREL PARK DR STE 401, LIVONIA, MI 48152-7905
(734) 855-7187
(734) 293-0086
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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