| Whole Mission Llc | |
|
930 Beechmont St Dearborn MI 48124-1513 | |
| (313) 969-7750 | |
| Not Available |
| Full Name | Whole Mission Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 930 Beechmont St, Dearborn, Michigan |
| Authorized Official Name and Position | Giovanni Vitale (DIRECTOR) |
| Authorized Official Contact | 3139697750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Mission Llc 930 Beechmont St Dearborn MI 48124-1513 Ph: (313) 969-7750 | Whole Mission Llc 930 Beechmont St Dearborn MI 48124-1513 Ph: (313) 969-7750 |
| NPI Number | 1417690926 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417690926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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