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Organization
INNER CITY FAMILY SERVICES DETROIT LLC
Active
Organization
INNER CITY FAMILY SERVICES DETROIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL WIKKELING (DIRECTOR)
(917) 916-6801
Entity
Organization
Contact information
Practice address
17894 MACK AVE, GROSSE POINTE, MI 48230-6250
(917) 916-6801
Mailing address
17894 MACK AVE, GROSSE POINTE, MI 48230-6250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/02/2024
Last updated
01/14/2025
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