Active NPI
Oaktree Community & Social Growth
- Case Management Agency
- Flint, MI
National Provider Identifier
1871027896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 6803806719
- Legal business name
- OAKTREE COMMUNITY & SOCIAL GROWTH
- Practice address
- 5103 W Pierson Rd
Flint, MI 48504-1395 - Phone
- (810) 391-2923
- Fax
- (810) 391-2968
- NPI assigned
- Apr 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tristam Ray Craig Sr., MS SST QMHP CMHP
- Title
- Owner
- Phone
- (248) 296-0359
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 6803806719 | MI | Primary |
Addresses
Primary practice location
5103 W Pierson Rd
Flint, MI 48504-1395
Mailing address
1900 Joliet St
Flint, MI 48504-4856
Phone (248) 296-0359
Other names 1
- OCSG
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492387200000",
"number": "1871027896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 JOLIET ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485044856",
"telephone_number": "248-296-0359",
"fax_number": "810-259-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5103 W PIERSON RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485041395",
"telephone_number": "810-391-2923",
"fax_number": "810-391-2968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKTREE COMMUNITY & SOCIAL GROWTH",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-17",
"last_updated": "2017-04-17",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "TRISTAM",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-296-0359",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MS SST QMHP CMHP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MI",
"license": "6803806719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OCSG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.