Provider Demographics
NPI:1053554253
Name:FAMILY OPTION SERVICES
Entity type:Organization
Organization Name:FAMILY OPTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LBS
Authorized Official - Phone:586-552-5093
Mailing Address - Street 1:32995 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-3849
Mailing Address - Country:US
Mailing Address - Phone:586-552-5093
Mailing Address - Fax:586-552-5089
Practice Address - Street 1:32995 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-3849
Practice Address - Country:US
Practice Address - Phone:586-552-5093
Practice Address - Fax:586-552-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802087188251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management