| Orchards Children's Services, Inc | |
|
42140 Van Dyke Ave Suite 206 Sterling Heights MI 48314-3677 | |
| (586) 997-3886 | |
| (248) 258-0487 |
| Full Name | Orchards Children's Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42140 Van Dyke Ave, Sterling Heights, Michigan |
| Authorized Official Name and Position | Jeffery Joseph Lusko (CLINICAL PROGRAM MANAGER) |
| Authorized Official Contact | 2482580440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchards Children's Services, Inc 24901 Northwestern Hwy Ste 500 Southfield MI 48075-2212 Ph: (248) 258-0440 | Orchards Children's Services, Inc 42140 Van Dyke Ave Suite 206 Sterling Heights MI 48314-3677 Ph: (586) 997-3886 |
| NPI Number | 1700093143 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700093143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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