Flint Odyssey House, INC.
Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children in Flint, MI. Organization (NPI-2).
NPI number1982128393
StatusActive
Last updated in NPPESOct 20, 2021
Details
- NPI
- 1982128393
- Entity type
- Organization (NPI-2)
- Legal business name
- Flint Odyssey House, INC.
- Organization subpart
- No
- Enumeration date
- Jul 27, 2017
- Certification date
- Oct 20, 2021
- Last updated
- Oct 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – | Yes |
Practice location
718 Oak StFlint, MI 48503-2614
Phone 810-238-7226 · Fax 810-239-5518
Mailing address
529 M L King AveFlint, MI 48502-2002
Phone 810-238-7226 · Fax 810-239-5518
Authorized official
Kimberly Meg Shewmaker
Director Of Program Operations
8102387226
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