Individual
RICHARD LAWRENCE ECHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25701 RAVINE ST, SOUTHFIELD, MI 48033-2256
(248) 353-4729
(248) 353-4746
Mailing address
25701 RAVINE ST, SOUTHFIELD, MI 48033-2256
(248) 353-4729
(248) 353-4746
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AF630280241
MI
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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