Oakland Integrated Healthcare Network
Clinic/Center, Federally Qualified Health Center (FQHC) in Pontiac, MI. Organization (NPI-2).
NPI number1003206038
StatusActive
Last updated in NPPESFeb 2, 2023
Details
- NPI
- 1003206038
- Entity type
- Organization (NPI-2)
- Legal business name
- Oakland Integrated Healthcare Network
- Organization subpart
- Yes
- Enumeration date
- Jan 29, 2015
- Certification date
- Feb 2, 2023
- Last updated
- Feb 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 207QA0000X | Family Medicine, Adolescent Medicine | – | – |
Other names
- Honor Community Health (Doing Business As)
- Teen Health Center (Other Name)
Practice location
1200 N Telegraph RdBuilding 87
Pontiac, MI 48341-1032
Phone 248-724-7435
Mailing address
Po Box 430150Pontiac, MI 48343-0150
Phone 248-724-7600
Authorized official
Debra Brinson
Ceo
2487247600
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