Provider Demographics
NPI:1649033622
Name:CORE HEALTH SERVICES
Entity type:Organization
Organization Name:CORE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORE
Authorized Official - Middle Name:HEALTH
Authorized Official - Last Name:SERVICES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-983-8133
Mailing Address - Street 1:2321 PARIS DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2368
Mailing Address - Country:US
Mailing Address - Phone:586-983-8133
Mailing Address - Fax:
Practice Address - Street 1:2321 PARIS DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2368
Practice Address - Country:US
Practice Address - Phone:586-983-8133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health