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Organization

PARK BEHAVIORAL HEALTH

Active
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Organization

PARK BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRETA PARK MD (OWNER)
(734) 417-2487
Entity
Organization

Contact information

Practice address
20600 EUREKA RD STE 819, TAYLOR, MI 48180-5377
(734) 285-8282
Mailing address
29260 FRANKLIN RD APT 304, SOUTHFIELD, MI 48034-1157
(313) 346-3717

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MI

Other

Enumeration date
05/24/2017
Last updated
03/17/2018
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