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Organization

PHC OF MICHIGAN LLC

Active
Other names
dba Harbor Oaks Outpatient Services
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN P FARLEY (VICE PRESIDENT & SECRETARY)
(615) 861-6000
Entity
Organization

Contact information

Practice address
25975 N KNOLLWOOD DR, STE D, CHESTERFIELD, MI 48051-2632
(586) 598-1010
(586) 598-1919
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCBSM
0E01027
MI
Enumeration date
06/07/2007
Last updated
01/20/2026
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