Provider Demographics
NPI:1922572056
Name:WILBART FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:WILBART FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-832-4132
Mailing Address - Street 1:1420 WASHINGTON BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-1718
Mailing Address - Country:US
Mailing Address - Phone:888-832-4132
Mailing Address - Fax:855-343-8820
Practice Address - Street 1:1420 WASHINGTON BLVD STE 301
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-1718
Practice Address - Country:US
Practice Address - Phone:888-832-4132
Practice Address - Fax:855-343-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty