| Flint Odyssey House, Inc. | |
|
1431 Lapeer Ave Port Huron MI 48060-4277 | |
| (810) 238-7226 | |
| Not Available |
| Full Name | Flint Odyssey House, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1431 Lapeer Ave, Port Huron, Michigan |
| Authorized Official Name and Position | Kimberly Meg Shewmaker (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 8102387226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flint Odyssey House, Inc. 529 Martin Luther King Jr Ave Flint MI 48502 Ph: (810) 238-7226 | Flint Odyssey House, Inc. 1431 Lapeer Ave Port Huron MI 48060-4277 Ph: (810) 238-7226 |
| NPI Number | 1194112771 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194112771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SA0250303 (Michigan) | Primary |
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