| Detroit Family Center, Llc | |
|
24564 Raven Ave Eastpointe MI 48021-1408 | |
| (313) 525-0142 | |
| Not Available |
| Full Name | Detroit Family Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24564 Raven Ave, Eastpointe, Michigan |
| Authorized Official Name and Position | Marcella Marea Payne Charley (OWNER) |
| Authorized Official Contact | 3132089947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Family Center, Llc 24564 Raven Ave Eastpointe MI 48021-1408 Ph: (313) 525-0142 | Detroit Family Center, Llc 24564 Raven Ave Eastpointe MI 48021-1408 Ph: (313) 525-0142 |
| NPI Number | 1174803571 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174803571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401009381 (Michigan) | Primary |
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