NPI 1396111720
Jacqulyn Douglas
Practice location
- Address
- 304 W Tobias St, Flint, MI 48503-3975
- Phone
- (810) 233-4093
- Fax
- (810) 233-4964
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1396111720
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Aug 2015
- Record last updated
- 20 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.