Provider Demographics
NPI:1841561271
Name:SYNERGY PARTNERS LLC
Entity Type:Organization
Organization Name:SYNERGY PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISADORE
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-724-7544
Mailing Address - Street 1:3031 W GRAND BLVD
Mailing Address - Street 2:SUITE 555
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3046
Mailing Address - Country:US
Mailing Address - Phone:866-724-7544
Mailing Address - Fax:313-748-7405
Practice Address - Street 1:3031 W GRAND BLVD
Practice Address - Street 2:SUITE 555
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-3046
Practice Address - Country:US
Practice Address - Phone:866-724-7544
Practice Address - Fax:313-748-7405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health