Mr. Larry J Graham Jr.
Mr. Larry J Graham Jr. is a Mental Illness Community Based Residential Treatment Facility in Pontiac, Michigan. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1284 Maurer AvePontiac, MI 48342-1960
Phone: (248) 252-1427
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1710528617 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2019 |
| Last updated in NPPES | October 1, 2019 |
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