MS. JACQULYN DOUGLAS
Community Based Residential Treatment Facility, Mental Illness
Active
Individual
NPI: 1396111720
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | - |
Frequently Asked Questions
NPI 1396111720 is the National Provider Identifier for MS. JACQULYN DOUGLAS, a Community Based Residential Treatment Facility, Mental Illness provider located in Flint, MI. This NPI was enumerated on August 20, 2015.
MS. JACQULYN DOUGLAS practices at 304 W TOBIAS ST, Flint, MI 48503.
Quick Facts
- NPI
- 1396111720
- Type
- Individual
- Enumerated
- Aug 20, 2015
- Last Updated
- Aug 20, 2015
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