Watkins Afc Family Home L.L.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

AF Issued in MI

Legal business name

WATKINS AFC FAMILY HOME L.L.C.

Practice address

49783 Parkside Dr
Northville, MI 48168-6821

Phone

(248) 773-1682

Fax

(248) 308-3283

NPI assigned

Jun 6, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Corliss Michele Watkins

Title

Member/Executive Director

Phone

(248) 773-1682

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1245722032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49783 PARKSIDE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686821",
            "telephone_number": "248-773-1682",
            "fax_number": "248-308-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49783 PARKSIDE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686821",
            "telephone_number": "248-773-1682",
            "fax_number": "248-308-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS AFC FAMILY HOME L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CORLISS",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "MEMBER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-773-1682"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "AF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Wanna
• Ward Evangelical Presbyterian Church
• Laura Marie Ward
• Serena Warra
• Eric Andrew Waselewski, MD
• Megan Watson, DO
• Emily Waugh
• Michael Wayne, DO
• Ashley Weaver, PT
• Katherine Weaver, LLMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Northville, MI
• Providers in Northville, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.