| Organization Name: | DETROIT HEALTH WELLNESS PROMO |
| NPI Number: | 1821369620 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORETTA V DAVIS (DIRECTOR / HEALTH OFFICER) |
| Mailing Address: | 1151 Taylor St Detroit |
| State: | MI US |
| Postal Code: | 482021732 |
| Phone Number: | 3138764717 |
| Fax Number: | 3138760177 |
| NPI Enumeration Date: | 01/25/2012 |
| NPI Last Update Date: | 01/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |