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NPI Code Detail

MEDICARE: GREAT FUTURES FAMILY SERVICES INC

MEDICARE: GREAT FUTURES FAMILY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QM0850XAdult Mental Health Clinic/Center
4261QM0855XAdolescent and Children Mental Health Clinic/Center
5251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1033773528
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREAT FUTURES FAMILY SERVICES INC
Provider Business Mailing Address
First Line : 15892 ORCHARD LN
Second Line :
City : ROSEVILLE
State : MI
Zip : 48066-5215
Country : US
Telephone Number : 313-737-0018
Fax Number : 586-200-3885
Provider Business Practice Location Address
First Line : 11475 E OUTER DR
Second Line :
City : DETROIT
State : MI
Zip : 48224-3226
Country : US
Telephone Number : 313-737-0018
Fax Number : 586-200-3885
Authorized Official
Title or Position : DIRECTOR
Name : MS. LASHAWN MYERS
Credential : LCSW
Telephone Number : 313-737-0018
Provider Enumeration Date : 04/30/2019
Last Update Date : 12/08/2021

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Directions to “GREAT FUTURES FAMILY SERVICES INC ” Practice Location

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