Provider Demographics
NPI:1508528407
Name:FRIENDSHIP CIRCLE
Entity Type:Organization
Organization Name:FRIENDSHIP CIRCLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMTOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-788-7878
Mailing Address - Street 1:6892 W MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3032
Mailing Address - Country:US
Mailing Address - Phone:248-788-7878
Mailing Address - Fax:248-788-7854
Practice Address - Street 1:6892 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3032
Practice Address - Country:US
Practice Address - Phone:248-788-7878
Practice Address - Fax:248-788-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health