Organization
KENFIELD WALTERS INTL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH CHRISTINA WALTERS PH.D. (CEO)
(248) 737-0388
Entity
Organization
Contact information
Practice address
38864 COUNTRY CIR, FARMINGTON HILLS, MI 48331-1025
(248) 737-0388
Mailing address
38864 COUNTRY CIR, FARMINGTON HILLS, MI 48331-1025
(248) 737-0388
(248) 254-3890
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
4101005991
MI
261QM0850X
Adult Mental Health Clinic/Center
Primary
6301006592
MI
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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