MICHAEL DWAYNE BOLTON

FLINT, MI
NPI1942856216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-13
Last Update Date2019-08-13
Business Address
Mr. MICHAEL DWAYNE BOLTON
765 E HAMILTON AVE
FLINT, MI 48505-4707
Phone number: 810-233-5340
Mailing Address
Mr. MICHAEL DWAYNE BOLTON
765 E HAMILTON AVE
FLINT, MI 48505-4707
Phone number: 810-233-5340