| Greater Health Services Llc | |
|
17410 Revere St Southfield MI 48076-7724 | |
| (313) 229-9918 | |
| Not Available |
| Full Name | Greater Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17410 Revere St, Southfield, Michigan |
| Authorized Official Name and Position | Raquel Andrea Hawthorne (OWNER) |
| Authorized Official Contact | 3132299918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Health Services Llc 17410 Revere St Southfield MI 48076-7724 Ph: (313) 229-9918 | Greater Health Services Llc 17410 Revere St Southfield MI 48076-7724 Ph: (313) 229-9918 |
| NPI Number | 1396341350 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396341350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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