Organization
RE- CONNECT MY LIFE INC.
Active
Other names
Re- Connect My Life Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHUNTAI WALKER (CLINICAL OWNER)
(810) 515-1931
Entity
Organization
Contact information
Practice address
1121 VILLA LINDE CT, FLINT, MI 48532-3410
(810) 515-1931
Mailing address
PO BOX 320414, FLINT, MI 48532-0008
(810) 515-1931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/31/2015
Last updated
03/12/2019
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