Provider Demographics
NPI:1255757290
Name:OAKLAND PRIMARY HEALTH SERVICES
Entity type:Organization
Organization Name:OAKLAND PRIMARY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BASED THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ALETA
Authorized Official - Middle Name:BLANCHE
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:248-451-7365
Mailing Address - Street 1:30990 STONE RIDGE DR APT 10215
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-3899
Mailing Address - Country:US
Mailing Address - Phone:248-330-1161
Mailing Address - Fax:
Practice Address - Street 1:30990 STONE RIDGE DR APT 10215
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-3899
Practice Address - Country:US
Practice Address - Phone:248-330-1161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service