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Organization
OAKWOOD CHILD AND ADOLESECENT HEALTH CARE CENTERS
Active
Organization
OAKWOOD CHILD AND ADOLESECENT HEALTH CARE CENTERS
Active
Other names
Oakwood Teen Centers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E COX (CHIEF FINANCIAL OFFICER)
(947) 522-3333
Entity
Organization
Contact information
Practice address
20352 EUREKA RD., OAKWOOD TEEN HEALTH CENTER-TAYLOR, TAYLOR, MI 48180-4835
(734) 942-2273
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H221710
B.C.B.S. MI
MI
01
—
1083708200
NPI
MI
01
—
1245237551
NPI
MI
01
—
1326019076
NPI
MI
01
—
1386624591
NPI
MI
01
—
1548307945
NPI
MI
01
—
1578500724
NPI
MI
01
—
1699754226
NPI
MI
01
—
1831191576
NPI
MI
01
—
1861462632
NPI
MI
01
—
1891765327
NPI
MI
01
—
500H201890
BLUE CROSSBLUE SHIELD MI
MI
Enumeration date
02/01/2008
Last updated
10/16/2024
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