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General NPI Number Information
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NPI Number | 1194656579
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Entity Type | Organization
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Legal Business Name | CARE HOUSE OF OAKLAND COUNTY
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 44765 WOODWARD AVE
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City | PONTIAC
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State | MI
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Zip | 48341-5021
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Country | US
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Telephone | 248-333-4931
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Fax | 248-333-4931
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Provider Business Mailing Address
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Address Line | 44765 WOODWARD AVE
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City | PONTIAC
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State | MI
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Zip | 48341-5021
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Country | US
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Telephone | 248-332-7173
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Fax | 248-333-4931
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | HOLLY J BANES
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Credential |
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Telephone | 947-232-7840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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