| Organization Name: | KAIROS HEALTHCARE INCORPORATED |
| NPI Number: | 1750457958 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRED E. WIGEN (PRESIDENT CEO) |
| Mailing Address: | 20400 Superior Rd Taylor |
| State: | MI US |
| Postal Code: | 481805362 |
| Phone Number: | 7343742400 |
| Fax Number: | 7343748360 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 08/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 823011 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |