MEDICARE: FRIENDS & FAMILY 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
1	261QM0850X	Adult Mental Health Clinic/Center	AS500064412	MI
2	261QM0850X	Adult Mental Health Clinic/Center	AS500078871	MI
3	261QM0850X	Adult Mental Health Clinic/Center	AS630243514	MI
4	261QM0850X	Adult Mental Health Clinic/Center	AS630089164	MI
5	261QM0850X	Adult Mental Health Clinic/Center	AS630244548	MI
6	261QM0850X	Adult Mental Health Clinic/Center	AS500262994	MI
7	261QM0850X	Adult Mental Health Clinic/Center	AS500285118	MI
8	261QM0850X	Adult Mental Health Clinic/Center	AS630313915	MI
9	261QM0850X	Adult Mental Health Clinic/Center	AS500310013	MI
10	261QM0850X	Adult Mental Health Clinic/Center	AS630012761	MI

General Provider Information

NPI Number	:	1154851012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS & FAMILY INC.

Provider Business Mailing Address
First Line	:	7730 SMALE ST
Second Line	:	PLEASE SELECT
City	:	WASHINGTON
State	:	MI
Zip	:	48094
Country	:	US
Telephone Number	:	586-781-5040
Fax Number	:	586-781-5530

Provider Business Practice Location Address
First Line	:	7730 SMALE ST
Second Line	:
City	:	WASHINGTON
State	:	MI
Zip	:	48094-3501
Country	:	US
Telephone Number	:	586-781-5040
Fax Number	:	586-781-5530

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. BUDDY GENE SMITH
Credential	:
Telephone Number	:	586-781-5040

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	04/05/2018

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