LARRY J GRAHAM

PONTIAC, MI
NPI1710528617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2019-10-01
Last Update Date2019-10-01
Business Address
Mr. LARRY J GRAHAM
1284 MAURER AVE
PONTIAC, MI 48342-1960
Phone number: 248-252-1427
Mailing Address
Mr. LARRY J GRAHAM
1225 E BIG BEAVER RD
TROY, MI 48083-1905
Phone number: 248-524-8801
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