Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY J GRAHAM JR.
Active Sole ProprietorMR. LARRY J GRAHAM JR. is a Psychiatric Residential Treatment Facility healthcare provider located in PONTIAC, Michigan. NPI 1710528617 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · PONTIAC, MI
Registration Details
- NPI Number
- 1710528617
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2019 (6.9028617563411 yrs)
- Last Updated
- Oct 1, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1284 MAURER AVEPONTIAC, MI, 483421960Browse MI providers · Browse ZIP 48342
- Phone
- 2482521427
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.