Provider Demographics
NPI:1942617535
Name:AIDS PARTNERSHIP MICHIGAN, INC
Entity Type:Organization
Organization Name:AIDS PARTNERSHIP MICHIGAN, INC
Other - Org Name:WELLNESS NETWORKS, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF PROGRAM OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MILLBOURNE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:313-446-9811
Mailing Address - Street 1:3011 W GRAND BLVD
Mailing Address - Street 2:STE. 230
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3096
Mailing Address - Country:US
Mailing Address - Phone:313-446-9800
Mailing Address - Fax:313-446-9839
Practice Address - Street 1:3011 W GRAND BLVD
Practice Address - Street 2:STE. 230
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-3096
Practice Address - Country:US
Practice Address - Phone:313-446-9800
Practice Address - Fax:313-446-9839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable