Provider Demographics
NPI:1023772985
Name:APEX WELLNESS CENTER LLC
Entity type:Organization
Organization Name:APEX WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:G
Authorized Official - Last Name:OBUA
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:517-914-7788
Mailing Address - Street 1:20905 GREENFIELD RD STE 508
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5351
Mailing Address - Country:US
Mailing Address - Phone:248-809-6552
Mailing Address - Fax:248-809-6658
Practice Address - Street 1:20905 GREENFIELD RD STE 508
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5351
Practice Address - Country:US
Practice Address - Phone:248-809-6552
Practice Address - Fax:248-809-6658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty