PHC OF MICHIGAN LLC NPI 1891998894

NPI Information

NPI: 1891998894
Provider Name: PHC OF MICHIGAN LLC

Doing Business As: DBA HARBOR OAKS OUTPATIENT SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
25975 N KNOLLWOOD DR
STE D
CHESTERFIELD, MI
ZIP 48051
Phone: (586) 598-1010
Get Directions

PHC OF MICHIGAN LLC is a mental health (including community mental health center) clinic center in Chesterfield, MI. PHC OF MICHIGAN LLC NPI is 1891998894. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Harbor Oaks Outpatient Services.

The provider's business location address is:

25975 N KNOLLWOOD DR
STE D
CHESTERFIELD, MI
ZIP 48051-632
Phone: (586) 598-1010
Fax: (586) 598-1919

The provider's authorized official is Brian P Farley .
The authorized official title is Vice President & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 8/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BCBSM	OTHER	MICHIGAN	0E01027

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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