Organization
INNER CITY FAMILY SERVICES DETROIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL WIKKELING (DIRECTOR)
(917) 916-6801
Entity
Organization
Contact information
Practice address
17894 MACK AVE, GROSSE POINTE, MI 48230-6250
(917) 916-6801
Mailing address
17894 MACK AVE, GROSSE POINTE, MI 48230-6250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/02/2024
Last updated
01/14/2025
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