| NPI | 1710316534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY FRANKLIN Owner 313-778-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2020-07-13 |