Healthcare Provider Details

I. General information

NPI: 1770105074
Provider Name (Legal Business Name): WORKIT HEALTH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 WASHTENAW AVE STE 280
ANN ARBOR MI
48104-5184
US

IV. Provider business mailing address

3300 WASHTENAW AVE STE 280
ANN ARBOR MI
48104-5184
US

V. Phone/Fax

Practice location:
  • Phone: 855-659-7734
  • Fax:
Mailing address:
  • Phone: 855-659-7734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATE MONTI
Title or Position: HEAD OF OPERATIONS
Credential:
Phone: 415-842-9771