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Organization

VIKING BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA DAVIS MA, MSW (OWNER)
(313) 571-6373
Entity
Organization

Contact information

Practice address
7445 ALLEN RD, 124, ALLEN PARK, MI 48101-1963
(313) 891-2028
Mailing address
8158 YOLANDA ST, DETROIT, MI 48234-3320
(313) 891-2028

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
04/01/2013
Last updated
04/01/2013
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