Organization
FAMILY THERAPY & DEVELOPMENT CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANENE MARIE DONARSKI PHD, MSW (OWNER AND THERAPIST)
(269) 982-3832
Entity
Organization
Contact information
Practice address
2460 LAKESHORE DR, SAINT JOSEPH, MI 49085-1874
(269) 982-3832
(269) 281-0351
Mailing address
4384 LAUREL DRIVE, ST JOSEPH, MI 49085
(269) 982-3832
(269) 281-0351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801087845
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
6802080845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62-79049
—
MI
Enumeration date
11/19/2007
Last updated
04/10/2013
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