Provider Demographics
NPI:1609183110
Name:WAYNE COUNTY CHILDREN FAMILY SERVICES
Entity Type:Organization
Organization Name:WAYNE COUNTY CHILDREN FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADULT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-833-4605
Mailing Address - Street 1:640 TEMPLE ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2599
Mailing Address - Country:US
Mailing Address - Phone:313-833-4605
Mailing Address - Fax:313-833-3222
Practice Address - Street 1:640 TEMPLE ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2599
Practice Address - Country:US
Practice Address - Phone:313-833-4605
Practice Address - Fax:313-833-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health