Organization
BELONGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY NEOFOTISTOS (OWNER)
(810) 209-8582
Entity
Organization
Contact information
Practice address
720 KENSINGTON AVE, FLINT, MI 48503-5331
(810) 209-8582
Mailing address
12745 S SAGINAW RD, STE 806 #120, GRAND BLANC, MI 48439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
09/07/2021
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