Provider Demographics
NPI:1023233616
Name:FAMILY LIFE MINISTRIES, INC.
Entity type:Organization
Organization Name:FAMILY LIFE MINISTRIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:AUCHTUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-772-1733
Mailing Address - Street 1:300 S STATE ST
Mailing Address - Street 2:SUITE 13
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-1676
Mailing Address - Country:US
Mailing Address - Phone:616-772-1733
Mailing Address - Fax:616-879-0072
Practice Address - Street 1:300 S STATE ST
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1676
Practice Address - Country:US
Practice Address - Phone:616-772-1733
Practice Address - Fax:616-879-0072
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY LIFE MINISTRIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-17
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health