| Dba Harbor Oaks Outpatient Services | |
|
25975 N Knollwood Dr Ste D Chesterfield MI 48051-2632 | |
| (586) 598-1010 | |
| (586) 598-1919 |
| Full Name | Dba Harbor Oaks Outpatient Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 25975 N Knollwood Dr, Chesterfield, Michigan |
| Authorized Official Name and Position | Brian P Farley (VICE PRESIDENT & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Harbor Oaks Outpatient Services 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-7566 | Dba Harbor Oaks Outpatient Services 25975 N Knollwood Dr Ste D Chesterfield MI 48051-2632 Ph: (586) 598-1010 |
| NPI Number | 1891998894 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891998894 | NPI | - | NPPES |
| BCBSM | Other | MI | 0E01027 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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