Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Oakwood Youth Programs, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1790959120

Oakwood Youth Programs, LLC is a Physical Medicine & Rehabilitation Physician in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18501 Rotunda Dr Ste 200
Dearborn, MI 48124-3891
Phone: (313) 996-1960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 4301061207 (MI)

Record details

NPI number1790959120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Odom — President Shared Services · (947) 522-3326
Other names Oakwood Youth Programs, Llc; Oakwood Youth Programs, Llc
NPI enumeratedApril 16, 2008
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address26901 Beaumont Blvd, Compliance, Southfield, MI 48033-3849

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