| NPI | 1518393800 |
|---|---|
| Doing Business As | BALD MOUNTAIN BEHAVIORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM KITZMILLER President 248-693-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MI 430136695) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2025-03-07 |