Healthcare Provider Details
I. General information
NPI: 1073780573
Provider Name (Legal Business Name): OXFORD RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2008
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7015 FIELDCREST DR
BRIGHTON MI
48116-8414
US
IV. Provider business mailing address
7030 WHITMORE LAKE RD
BRIGHTON MI
48116-8533
US
V. Phone/Fax
- Phone: 248-486-3636
- Fax: 248-486-0686
- Phone: 248-486-3636
- Fax: 248-486-0686
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TAMELA
OXFORD
PETERSON
Title or Position: CEO
Credential:
Phone: 248-486-3636