FLINT ODYSSEY HOUSE, INC. (NPI# 1841325172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841325172 |
| Entity Type | Organization |
| Organization Name | FLINT ODYSSEY HOUSE, INC. |
| Practice Address |
529 M L King Ave Flint MI 48502-2002 |
| Practice Telephone | 8102387226 |
| Practice Fax Number | 8102395518 |
| Mailing Telephone | 8102387226 |
| Mailing Fax Number | 8102395518 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-07-21 |
| Authorized Official Name | MR. RONALD SAHARA BROWN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8102387226 |
| Authorized Official Credential | CAC-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 250303 | MI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505763 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1310 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-07-26 |
| 1194112771 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1431 Lapeer Ave, Port Huron, MI 48060-4277 | 2015-04-21 |
| 1497986483 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2009-08-07 |
| 1679051759 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 718 Griswold St, Port Huron, MI 48060-5847 | 2018-08-01 |
| 1982128393 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 718 Oak St, Flint, MI 48503-2614 | 2017-07-27 |
| Street Address |
529 M L KING AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48502-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790854305 | Ronnie Tyson | Social Worker | 529 M L King Ave, Flint, MI 48502-2002 | 2006-11-07 |
| 1124685938 | Guy Lynch | Peer Specialist | 529 M L King Ave, Flint, MI 48502-2002 | 2019-05-28 |
| 1841719614 | Stephen Scheib | Counselor | 529 M L King Ave, Flint, MI 48502-2002 | 2017-09-13 |
| 1124560719 | Kristine Dunn-wsner | Psychologist | 529 M L King Ave, Flint, MI 48502-2002 | 2016-11-14 |
| 1285182980 | Ricardo Antoine Brown | Counselor | 529 M L King Ave, Flint, MI 48502-2002 | 2016-09-12 |
| 1689121592 | Holly Phillips I | Counselor | 529 M L King Ave, Flint, MI 48502-2002 | 2016-09-08 |
| 1952760407 | Stephen Ulrich | Counselor | 529 M L King Ave, Flint, MI 48502-2002 | 2016-02-12 |
| 1316317027 | Flint Odyssey House | Community/Behavioral Health | 529 M L King Ave, Flint, MI 48502-2002 | 2015-10-07 |
| 1720458037 | Kristen Lawre Senters | Counselor | 529 M L King Ave, Flint, MI 48502-2002 | 2015-09-29 |
| 1619374964 | Danielle Hammond | Counselor | 529 M L King Ave, Flint, MI 48502-2002 | 2014-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 1104474329 | First Trinity Missionary Baptist Church | Public Health or Welfare | 1226 Beach St, Flint, MI 48502 | 2019-08-30 |
| 1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1508260753 | Brittany Hopkins | Counselor | 529 Marting Luther King Jr Ave, Flint, MI 48502 | 2014-10-17 |
| Find all providers in zip 48502 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
| 1184111528 | Great Lakes Recovery Mission, LLC | Substance Abuse Rehabilitation Facility | 6200 N Dort Hwy, Flint, MI 48505-2347 | 2018-04-20 |
| 1073737433 | Transition House Inc | Substance Abuse Rehabilitation Facility | 931 Martin Luther King, Flint, MI 48503-1488 | 2007-04-13 |
| 1164085171 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 939 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-16 |
| 1073176087 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 931 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-16 |
| 1326484064 | Flint Odyssey House Outpatient Services | Substance Abuse Rehabilitation Facility | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2013-05-21 |
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| 1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
| 1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
| 1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
| 1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
| 1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
| 1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
| 1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
| 1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
| 1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.