| Organization Name: | OAKLAND INTEGRATED HEALTHCARE NETWORK |
| NPI Number: | 1003206038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRA BRINSON (CEO) |
| Mailing Address: | 1200 N Telegraph Rd Building 87 Pontiac |
| State: | MI US |
| Postal Code: | 483411032 |
| Phone Number: | 2487247435 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2015 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |