Organization
OAKLAND INTEGRATED HEALTHCARE NETWORK
Active
Parent organization
OAKLAND INTEGRATED HEALTHCARE NETWORK
Other names
Mason Middle School Empowerment Zone
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKLAND INTEGRATED HEALTHCARE NETWORK
Authorized official
MELISSA MCQUEEN (REVENUE CYCLE MANAGER)
(248) 724-7413
Entity
Organization
Contact information
Practice address
3825 W WALTON BLVD, ROOM B, WATERFORD, MI 48329-4270
(248) 724-7600
(248) 724-7447
Mailing address
PO BOX 430150, PONTIAC, MI 48343-0150
(248) 724-7600
(248) 724-7447
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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