| NPI | 1457914913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVION FRIERSON Owner 586-552-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-05-28 |