| Generations Wellness Center | |
|
26803 Ryan Rd Warren MI 48091-4075 | |
| (586) 477-7472 | |
| Not Available |
| Full Name | Generations Wellness Center |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 26803 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Roman John Kolodchin (CEO) |
| Authorized Official Contact | 5864777472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Wellness Center 26803 Ryan Rd Warren MI 48091-4075 Ph: (586) 477-7472 | Generations Wellness Center 26803 Ryan Rd Warren MI 48091-4075 Ph: (586) 477-7472 |
| NPI Number | 1841985900 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841985900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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