| Flint Odyssey House, Inc | |
|
2414 Petit St Port Huron MI 48060-7446 | |
| (810) 238-7226 | |
| (810) 239-5518 |
| Full Name | Flint Odyssey House, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2414 Petit St, 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 Blvd Flint MI 48502-2002 Ph: (810) 238-7226 | Flint Odyssey House, Inc 2414 Petit St Port Huron MI 48060-7446 Ph: (810) 238-7226 |
| NPI Number | 1396131629 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396131629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SA0250303 (Michigan) | Primary |
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› Verified 6 days ago
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