Organization
FAMILY TYES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL CARSON (PRESIDENT)
(248) 789-8766
Entity
Organization
Contact information
Practice address
6017 HILLCREST ST, DETROIT, MI 48236-2154
(313) 790-4032
Mailing address
6795 GLENWAY DR, W BLOOMFIELD, MI 48322-3910
(248) 789-8766
(805) 299-4989
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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