| Family Outreach Center | |
|
1920 Godfrey Ave Sw Wyoming MI 49509-1415 | |
| (616) 243-0533 | |
| Not Available |
| Full Name | Family Outreach Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1920 Godfrey Ave Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Andrea Brandell (CLINICIAN) |
| Authorized Official Contact | 7343307629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Outreach Center 1939 Division Ave S Grand Rapids MI 49507-2459 Ph: () - | Family Outreach Center 1920 Godfrey Ave Sw Wyoming MI 49509-1415 Ph: (616) 243-0533 |
| NPI Number | 1548501349 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548501349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801095127 (Michigan) | Primary |
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