Organization
FLINT ODYSSEY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MEG SHEWMAKER LMSW (DIRECTOR OF PROGRAM OPERATIONS)
(810) 238-7226
Entity
Organization
Contact information
Practice address
718 OAK ST, FLINT, MI 48503-2614
(810) 238-7226
(810) 239-5518
Mailing address
529 M L KING AVE, FLINT, MI 48502-2002
(810) 238-7226
(810) 239-5518
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595664
—
MI
Enumeration date
07/27/2017
Last updated
10/20/2021
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