| NPI | 1689901993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN KING Owner 313-292-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2014-07-15 |