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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