| F.f.t.p. | |
|
14629 Snowden St Detroit MI 48227-3685 | |
| (313) 340-9752 | |
| (313) 731-1741 |
| Full Name | F.f.t.p. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14629 Snowden St, Detroit, Michigan |
| Authorized Official Name and Position | Cyrus Lomont Wheeler (FOUNDER/CEO) |
| Authorized Official Contact | 3133409752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F.f.t.p. Po Box 27236 Detroit MI 48227-0236 Ph: (313) 340-9752 | F.f.t.p. 14629 Snowden St Detroit MI 48227-3685 Ph: (313) 340-9752 |
| NPI Number | 1245860600 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245860600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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