Organization
MERCY MEMORIAL HOSPITAL CORPORATION
Active
Parent organization
THE FAMILY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE FAMILY CENTER
Authorized official
LARRY CSOKASY (MENTAL HLTH SERVICES DIRECTOR)
(734) 240-1770
Entity
Organization
Contact information
Practice address
700 STEWART RD, MONROE, MI 48162-5304
(734) 240-1770
(734) 240-1550
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-1770
(734) 240-1550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
580030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910950
BLUE CROSS
MI
Enumeration date
02/04/2008
Last updated
08/31/2011
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