MEDICARE: KARING KIDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	104100000X	Social Worker
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1467100669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARING KIDS

Provider Business Mailing Address
First Line	:	314 INKSTER RD
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-1209
Country	:	US
Telephone Number	:	313-278-3008
Fax Number	:	313-278-3836

Provider Business Practice Location Address
First Line	:	314 INKSTER RD
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-1209
Country	:	US
Telephone Number	:	313-278-3008
Fax Number	:	313-278-3836

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	NAWAL ALSAEED
Credential	:
Telephone Number	:	313-278-3008

Provider Enumeration Date	:	03/16/2022
Last Update Date	:	03/16/2022

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Directions to “KARING KIDS ” Practice Location

Language	Start Address	Practice Location

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