Organization
GT PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON MOORE MD (FOUNDER)
(734) 724-5341
Entity
Organization
Contact information
Practice address
29532 SOUTHFIELD RD STE 115, SOUTHFIELD, MI 48076-2023
(734) 724-5341
(734) 506-1647
Mailing address
PO BOX 702097, PLYMOUTH, MI 48170-0975
(734) 724-5341
(734) 506-1647
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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