Organization
LIFESPAN CLINICAL SERVICES-LIVONIA CLINIC
Active
Parent organization
STARFISH FAMILY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
STARFISH FAMILY SERVICES
Authorized official
MARISA F NICELY LMSW (DIRECTOR)
(248) 615-9730
Entity
Organization
Contact information
Practice address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
(248) 615-1260
Mailing address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
(248) 615-1260
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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