Provider Demographics
NPI:1871739003
Name:SUPERIOR FAMILY SERVICES
Entity type:Organization
Organization Name:SUPERIOR FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-812-0587
Mailing Address - Street 1:244 CHARLES LN
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-2929
Mailing Address - Country:US
Mailing Address - Phone:248-812-0587
Mailing Address - Fax:248-630-8919
Practice Address - Street 1:244 CHARLES LN
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-2929
Practice Address - Country:US
Practice Address - Phone:248-812-0587
Practice Address - Fax:248-630-8918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management