Organization
MENTAL FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLE KEKHOUA MA, LLP, LLPC (PRESIDENT)
(248) 601-3111
Entity
Organization
Contact information
Practice address
425 S MAIN ST, SUITE 201, ROCHESTER, MI 48307-6729
(248) 601-3111
Mailing address
425 S MAIN ST, SUITE 201, ROCHESTER, MI 48307-6729
(248) 601-3111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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