Organization
KAIROS HEALTHCARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED E. WIGEN JR. (PRESIDENT CEO)
(989) 777-4357
Entity
Organization
Contact information
Practice address
20400 SUPERIOR RD, TAYLOR, MI 48180-5362
(734) 374-2400
(734) 374-8360
Mailing address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
823011
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
823011
MI
104100000X
Social Worker
Primary
823011
MI
Other
Enumeration date
11/28/2006
Last updated
08/27/2007
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