Provider Demographics
NPI:1083454300
Name:CENTER FOR CHILDREN AND FAMILIES
Entity type:Organization
Organization Name:CENTER FOR CHILDREN AND FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DREYER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:734-330-3431
Mailing Address - Street 1:7380 CRYSTAL LAKE DR APT 4
Mailing Address - Street 2:
Mailing Address - City:SWARTZ CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:48473-8928
Mailing Address - Country:US
Mailing Address - Phone:734-330-3431
Mailing Address - Fax:
Practice Address - Street 1:7380 CRYSTAL LAKE DR APT 4
Practice Address - Street 2:
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473-8928
Practice Address - Country:US
Practice Address - Phone:734-330-3431
Practice Address - Fax:810-250-4176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-27
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health