| Fbc Detroit, Llc | |
|
7310 Woodward Ave Detroit MI 48202-3165 | |
| (248) 445-0882 | |
| Not Available |
| Full Name | Fbc Detroit, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7310 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Tomeka Liscombe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2484450882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fbc Detroit, Llc Po Box 563 Farmington MI 48332-0563 Ph: (248) 445-0882 | Fbc Detroit, Llc 7310 Woodward Ave Detroit MI 48202-3165 Ph: (248) 445-0882 |
| NPI Number | 1255798401 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255798401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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