Organization
MICHIGAN RECOVERY AND WELLNESS INITIVE
Active
Organization
MICHIGAN RECOVERY AND WELLNESS INITIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MAILLOUX (SECRETARY)
(586) 765-2977
Entity
Organization
Contact information
Practice address
2751 E JEFFERSON AVE, DETROIT, MI 48207-4105
(586) 765-2977
Mailing address
14427 DEBBIE DR, STERLING HEIGHTS, MI 48313-4313
(586) 765-2977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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