Generations Wellness Center INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Warren, MI. Organization (NPI-2).
NPI number1225755440
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1225755440
- Entity type
- Organization (NPI-2)
- Legal business name
- Generations Wellness Center INC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2022
- Certification date
- Jan 22, 2024
- Last updated
- Jan 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Safehaus INC (Other Name)
Practice location
26803 Ryan RdWarren, MI 48091-4075
Phone 586-477-7472 · Fax 586-262-1011
Mailing address
26803 Ryan RdWarren, MI 48091-4075
Phone 586-477-7472 · Fax 586-262-1011
Authorized official
Roman John Kolodchin
Ceo
5864777472
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