Organization
INNER CITY FAMILY SERVICES DETROIT LLC
Active
Parent organization
INNER CITY FAMILY SERVICES DETROIT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNER CITY FAMILY SERVICES DETROIT LLC
Authorized official
MR. RAUL WIKKELING (CHIEF OPERATING OFFICER)
(917) 916-6801
Entity
Organization
Contact information
Practice address
17894 MACK AVE STE A, GROSSE POINTE, MI 48230-6250
(313) 909-9590
Mailing address
17894 MACK AVE STE A, GROSSE POINTE, MI 48230-6250
(313) 909-9590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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