Organization
OAKWOOD YOUNG PROGRAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 594-1510
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
10/21/2021
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