Inner Man Wellness and Support Services
NPI #1669932109 in Bloomfield, Michigan
Provider Information
- NPI Number
- 1669932109
- Entity Type
- Organization
- Organization Name
- Inner Man Wellness and Support Services
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 21, 2019
- Last Updated
- Mar 21, 2019
Practice Location
- Address
- 4890 BALLANTRAE RD
- City
- Bloomfield
- State
- Michigan
- ZIP Code
- 48301-1000
- Phone
- (248) 802-2712
Authorized Official
- Name
- RODERICK GILLISON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (248) 802-2712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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