Organization
FAMILY SERVICE AGENCY OF MID-MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES P TOMMASULO LMSW, BCD, LMFT (EXECUTIVE DIRECTOR)
(810) 767-4014
Entity
Organization
Contact information
Practice address
1422 W COURT ST, FLINT, MI 48503-5008
(810) 767-4014
(810) 767-0020
Mailing address
1422 W COURT ST, FLINT, MI 48503-5008
(810) 767-4014
(810) 767-0020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
01/16/2009
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