Provider Demographics
NPI:1649091067
Name:THE CENTER FOR URBAN YOUTH AND FAMILY DEVELOPMENT
Entity type:Organization
Organization Name:THE CENTER FOR URBAN YOUTH AND FAMILY DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSIALLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ARBUCKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-340-3101
Mailing Address - Street 1:35952 SCHOOLCRAFT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1217
Mailing Address - Country:US
Mailing Address - Phone:734-377-0087
Mailing Address - Fax:
Practice Address - Street 1:15827 INDIANA ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48238-1105
Practice Address - Country:US
Practice Address - Phone:313-340-3101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty