Gt Psychiatric Services | |
29532 Southfield Rd Ste 115 Southfield MI 48076-2023 | |
(734) 724-5341 | |
(734) 506-1647 |
Full Name | Gt Psychiatric Services |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 29532 Southfield Rd Ste 115, Southfield, Michigan |
Authorized Official Name and Position | Brandon Moore (FOUNDER) |
Authorized Official Contact | 7347245341 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gt Psychiatric Services Po Box 702097 Plymouth MI 48170-0975 Ph: (734) 724-5341 | Gt Psychiatric Services 29532 Southfield Rd Ste 115 Southfield MI 48076-2023 Ph: (734) 724-5341 |
NPI Number | 1336969617 |
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Provider Enumeration Date | 10/11/2024 |
Last Update Date | 10/11/2024 |
Certification Date | 09/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336969617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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