INNER MAN WELLNESS AND SUPPORT SERVICES
NPI 1669932109
Substance Abuse Rehabilitation Facility in Bloomfield, MI

Active since March 21, 2019
4890 BALLANTRAE RD, BLOOMFIELD, MI 48301(248) 802-2712 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Inner Man Wellness And Support Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNER MAN WELLNESS AND SUPPORT SERVICES (NPI 1669932109) is a healthcare organization registered as a substance abuse rehabilitation facility in Bloomfield, Michigan and active in the NPI registry since March 2019. The organization lists Roderick Gillison, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669932109
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameINNER MAN WELLNESS AND SUPPORT SERVICES
Location Address4890 BALLANTRAE RDBloomfield, MI 48301-1000
Mailing Address4890 Ballantrae RdBloomfield, MI 48301-1000
Organization SubpartNo
Authorized OfficialRoderick GillisonExecutive Director · (248) 802-2712
Enumeration DateMarch 21, 2019
NPI 1669932109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4890 BALLANTRAE RD, Bloomfield, MI 48301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inner Man Wellness And Support Services's NPI number?

The NPI number for Inner Man Wellness And Support Services is 1669932109. It was assigned to this organization in the NPPES registry on March 21, 2019.

Where is Inner Man Wellness And Support Services located?

Inner Man Wellness And Support Services is located at 4890 Ballantrae Rd, Bloomfield, MI 48301. The listed phone number is (248) 802-2712.

What is Inner Man Wellness And Support Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Inner Man Wellness And Support Services was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.