Provider Demographics
NPI:1376613620
Name:NORTHLAND FAMILY PLANNING CENTER, INC.
Entity Type:Organization
Organization Name:NORTHLAND FAMILY PLANNING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-559-0590
Mailing Address - Street 1:24450 EVERGREEN RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5518
Mailing Address - Country:US
Mailing Address - Phone:248-559-0590
Mailing Address - Fax:248-559-4705
Practice Address - Street 1:24450 EVERGREEN RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5518
Practice Address - Country:US
Practice Address - Phone:248-559-0590
Practice Address - Fax:248-559-4705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty