KEVIN DANIEL

DETROIT, MI
NPI1124237862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- KEVIN DANIEL ACC
12010 LINWOOD ST
DETROIT, MI 48206-1108
Phone number: 313-867-1090
Mailing Address
-- KEVIN DANIEL ACC
15856 PARKSIDE ST
DETROIT, MI 48238-4104
Phone number: 313-334-2559