Provider Demographics
NPI:1831480847
Name:ALTERNATIVE HEALTH AND WELLNESS CENTER
Entity Type:Organization
Organization Name:ALTERNATIVE HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-407-4842
Mailing Address - Street 1:1004 E 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48203-2162
Mailing Address - Country:US
Mailing Address - Phone:313-893-2900
Mailing Address - Fax:313-893-2902
Practice Address - Street 1:1004 E 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48203-2162
Practice Address - Country:US
Practice Address - Phone:313-893-2900
Practice Address - Fax:313-893-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health