Individual provider · Type 1 NPI
Kenneth Thompson
Adult Day Care Clinic/Center · Pontiac, MI
NPI number
1376944322
Active
Practice location
708 Cortwright St
Pontiac, MI 48340-2302
Fax (248) 335-6240
Mailing address
102 W Yale Ave
Pontiac, MI 48340-1862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1376944322
Kenneth Thompson's National Provider Identifier is 1376944322, issued on Sep 9, 2014. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Pontiac, MI. The record was last updated on Sep 9, 2014.