Organization
DETROIT FAMILY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCELLA MAREA PAYNE CHARLEY MA, LLPC, CAADC (OWNER)
(313) 208-9947
Entity
Organization
Contact information
Practice address
24564 RAVEN AVE, EASTPOINTE, MI 48021-1408
(313) 525-0142
Mailing address
24564 RAVEN AVE, EASTPOINTE, MI 48021-1408
(313) 525-0142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401009381
MI
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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