Provider Demographics
NPI:1396842381
Name:PARKVIEW COMPANY LLC
Entity Type:Organization
Organization Name:PARKVIEW COMPANY LLC
Other - Org Name:PARKVIEW COUNSELING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:MOREY
Authorized Official - Last Name:FORDONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-532-8015
Mailing Address - Street 1:18609 W 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-2702
Mailing Address - Country:US
Mailing Address - Phone:313-532-8015
Mailing Address - Fax:313-532-2773
Practice Address - Street 1:18609 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-2702
Practice Address - Country:US
Practice Address - Phone:313-532-8015
Practice Address - Fax:313-532-2773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty