| Change Is Coming, Llc | |
|
29260 Franklin Rd Suite 111 Southfield MI 48034-1161 | |
| (248) 496-1937 | |
| Not Available |
| Full Name | Change Is Coming, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 29260 Franklin Rd, Southfield, Michigan |
| Authorized Official Name and Position | David M Klein (OWNER/MEMBER) |
| Authorized Official Contact | 2484961937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Is Coming, Llc 29260 Franklin Rd Suite 111 Southfield MI 48034-1161 Ph: (248) 496-1937 | Change Is Coming, Llc 29260 Franklin Rd Suite 111 Southfield MI 48034-1161 Ph: (248) 496-1937 |
| NPI Number | 1801133590 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 06/10/2013 |
| Medicare PECOS PAC ID | 0143468819 |
|---|---|
| Medicare Enrollment ID | O20130607000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801133590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David M Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053328427 PECOS PAC ID: 5294735072 Enrollment ID: I20070103000499 |
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