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Family Medical Center Of Michigan,inc

Social Worker, School in Detroit, MI. Organization (NPI-2).

NPI number1023928124
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1023928124
Entity type
Organization (NPI-2)
Legal business name
Family Medical Center Of Michigan,inc
Organization subpart
Yes
Enumeration date
Sep 10, 2026
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041S0200X Social Worker, School––Yes
101Y00000X Counselor––
101YM0800X Counselor, Mental Health––
103T00000X Psychologist––
104100000X Social Worker––
207Q00000X Family Medicine––
2084P0800X Psychiatry & Neurology, Psychiatry––
363L00000X Nurse Practitioner––

Practice location

4321 Military St
Detroit, MI 48210-2451

Phone 734-847-3802 · Fax 734-850-0520

Mailing address

8765 Lewis Ave
Temperance, MI 48182-9300

Phone 734-847-3802 · Fax 734-850-0520

Authorized official

Ed Larkins
Ceo
7348506914

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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