Organization Name: | BRIGHTON FAMILY CENTER, PLC |
NPI Number: | 1013380427 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WARWICK DAVID ARMSTRONG (MANAGER) |
Mailing Address: | 10315 Grand River Rd Suite 104 Brighton |
State: | MI US |
Postal Code: | 481169594 |
Phone Number: | 8102290844 |
Fax Number: | 7344280960 |
NPI Enumeration Date: | 11/06/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0000X |
License Number: | 4101005450 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Family |
Taxonomy Definition: |