Provider Demographics
NPI:1013737642
Name:GREEN THUMB CASE MANAGEMENT
Entity type:Organization
Organization Name:GREEN THUMB CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCETICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-928-6128
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48376-0332
Mailing Address - Country:US
Mailing Address - Phone:248-928-6128
Mailing Address - Fax:248-929-0193
Practice Address - Street 1:155 ARVIDA ST
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-3510
Practice Address - Country:US
Practice Address - Phone:248-928-6128
Practice Address - Fax:248-929-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty