Organization
OAKWOOD YOUTH PROGRAMS, LLC
Active
Organization
OAKWOOD YOUTH PROGRAMS, LLC
Active
Other names
Oakwood Youth Programs, 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
18501 ROTUNDA DR, STE 200, DEARBORN, MI 48124-3891
(313) 996-1960
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301061207
MI
Other
Enumeration date
04/16/2008
Last updated
10/21/2021
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