| Kenfield Walters Intl Llc | |
|
38864 Country Cir Farmington Hills MI 48331-1025 | |
| (248) 737-0388 | |
| Not Available |
| Full Name | Kenfield Walters Intl Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 38864 Country Cir, Farmington Hills, Michigan |
| Authorized Official Name and Position | Judith Christina Walters (CEO) |
| Authorized Official Contact | 2487370388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenfield Walters Intl Llc 38864 Country Cir Farmington Hills MI 48331-1025 Ph: (248) 737-0388 | Kenfield Walters Intl Llc 38864 Country Cir Farmington Hills MI 48331-1025 Ph: (248) 737-0388 |
| NPI Number | 1134550510 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134550510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6301006592 (Michigan) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 4101005991 (Michigan) | Secondary |
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