Organization
FAIRSKY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ST. JOHN PHD (EXECUTIVE DIRECTOR)
(248) 581-8777
Entity
Organization
Contact information
Practice address
23231 WOODWARD AVE, FERNDALE, MI 48220-1361
(248) 581-8777
(888) 975-9374
Mailing address
23231 WOODWARD AVE, FERNDALE, MI 48220-1361
(248) 581-8777
(888) 975-9374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CV0058149
—
MI
Enumeration date
08/05/2015
Last updated
08/23/2022
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