| NPI | 1477857365 |
|---|---|
| Doing Business As | PEDIATRIC POTENTIALS |
| Entity Type | Organization |
| Authorized Contact | MARK CLEARY President/CEO 313-832-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2013-04-04 |