Organization
OAKWOOD HEALTHCARE GROUP II, LLC
Active
Other names
Oakwood Teen Centers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
19275 NORTHLINE, SOUTHGATE, MI 48195
(734) 287-2076
(734) 287-2731
Mailing address
26901 BEAUMONT BLFD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4689090
TYPE 23
MI
Enumeration date
02/01/2007
Last updated
10/21/2021
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