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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