| Itherapygenx, Pllc | |
|
31701 Grandview Ave Westland MI 48186-8958 | |
| (734) 686-7231 | |
| Not Available |
| Full Name | Itherapygenx, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 31701 Grandview Ave, Westland, Michigan |
| Authorized Official Name and Position | Crystal E Turbett (OWNER/CEO) |
| Authorized Official Contact | 7346867231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itherapygenx, Pllc 31701 Grandview Ave Westland MI 48186-8958 Ph: (734) 686-7231 | Itherapygenx, Pllc 31701 Grandview Ave Westland MI 48186-8958 Ph: (734) 686-7231 |
| NPI Number | 1639789688 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639789688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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