Organization
BLACK FAMILY DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA ANTOINETTE STEPHENS (CHIEF EXECUTIVE OFFICER)
(248) 396-5419
Entity
Organization
Contact information
Practice address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
(313) 758-0150
(313) 758-0255
Mailing address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
(313) 758-0150
(313) 758-0255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/09/2007
Last updated
02/12/2025
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