Provider Demographics
NPI:1831469261
Name:THE FAMILY CENTER, INC
Entity Type:Organization
Organization Name:THE FAMILY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:LUDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:269-782-9811
Mailing Address - Street 1:56332 M 51 S
Mailing Address - Street 2:PO BOX 86
Mailing Address - City:DOWAGIAC
Mailing Address - State:MI
Mailing Address - Zip Code:49047-9763
Mailing Address - Country:US
Mailing Address - Phone:269-782-9811
Mailing Address - Fax:269-782-9812
Practice Address - Street 1:56332 M 51 S
Practice Address - Street 2:
Practice Address - City:DOWAGIAC
Practice Address - State:MI
Practice Address - Zip Code:49047-9763
Practice Address - Country:US
Practice Address - Phone:269-782-9811
Practice Address - Fax:269-782-9812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802021351251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1073759189OtherNIP