Organization
FAMILY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRDELL THOMAS LMSW (DIRECTOR)
(313) 579-5989
Entity
Organization
Contact information
Practice address
10900 HARPER AVE, DETROIT, MI 48213-3364
(313) 579-5989
Mailing address
10900 HARPER AVE, DETROIT, MI 48213-3364
(313) 579-5989
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6801081677
MI
305R00000X
Preferred Provider Organization
6801081677
MI
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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