BRUCE BELFONTA MARKS

DETROIT, MI
NPI1063733996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-06-15
Last Update Date2010-06-15
Business Address
Mr. BRUCE BELFONTA MARKS CAC-M
17357 KLINGER ST
DETROIT, MI 48212-1035
Phone number: 313-893-3454
Mailing Address
Mr. BRUCE BELFONTA MARKS CAC-M
17357 KLINGER ST
DETROIT, MI 48212-1035
Phone number: 313-893-3454