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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