Provider Demographics
NPI:1386500106
Name:THE FAMILY CENTER OF MICHIGAN
Entity type:Organization
Organization Name:THE FAMILY CENTER OF MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:WHITNEY
Authorized Official - Last Name:COSBY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-747-3308
Mailing Address - Street 1:3361 BIRCHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3682
Mailing Address - Country:US
Mailing Address - Phone:734-747-3308
Mailing Address - Fax:
Practice Address - Street 1:3361 BIRCHWOOD ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-3682
Practice Address - Country:US
Practice Address - Phone:734-747-3308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-25
Last Update Date:2025-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health