TERRIE CROCKETT

FLINT, MI
NPI1467820563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2015-09-04
Last Update Date2015-09-04
Business Address
Mrs. TERRIE CROCKETT
304 W TOBIAS ST
FLINT, MI 48503-3975
Phone number: 810-233-4093
Mailing Address
Mrs. TERRIE CROCKETT
304 W TOBIAS ST
FLINT, MI 48503-3975
Phone number: 810-233-4093