NPI | 1104440320 |
---|---|
Entity Type | Organization |
Authorized Contact | GREORY FRANKLIN Owner 248-842-0428 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-07-13 |