Organization
ORCHARDS CHILDREN'S SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY JOSEPH LUSKO MA, LLP (CLINICAL PROGRAM MANAGER)
(248) 258-0440
Entity
Organization
Contact information
Practice address
24901 NORTHWESTERN HWY STE 500, SOUTHFIELD, MI 48075-2212
(248) 258-0440
(248) 258-0458
Mailing address
24901 NORTHWESTERN HWY STE 500, SOUTHFIELD, MI 48075-2212
(248) 258-0044
(248) 258-0458
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3471170
—
MI
Enumeration date
05/08/2007
Last updated
04/15/2021
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