Organization Name: | CENTER FOR FAMILY DEVELOPMENT |
NPI Number: | 1023157161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAULO RODRIGUEZ (PARTNER) |
Mailing Address: | 217 Sunrise Dr Holland |
State: | MI US |
Postal Code: | 494236669 |
Phone Number: | 6163927695 |
Fax Number: | 6163926955 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |