Healthcare Provider Details

I. General information

NPI: 1497609911
Provider Name (Legal Business Name): OAKLAND COMMUNITY HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N TELEGRAPH RD DEPT 32E
PONTIAC MI
48341-1032
US

IV. Provider business mailing address

5505 CORPORATE DR
TROY MI
48098-2614
US

V. Phone/Fax

Practice location:
  • Phone: 248-464-6363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CALLANA LYNEESE OLLIE
Title or Position: SENIOR COUNSEL
Credential:
Phone: 248-717-1959