Koby Empire, INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Royal Oak, MI. Organization (NPI-2).
NPI number1700757440
StatusActive
Last updated in NPPESNov 21, 2025
Details
- NPI
- 1700757440
- Entity type
- Organization (NPI-2)
- Legal business name
- Koby Empire, INC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2025
- Certification date
- Nov 21, 2025
- Last updated
- Nov 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
4322 Buckingham RdRoyal Oak, MI 48073-6220
Phone 208-422-4536
Mailing address
4322 Buckingham RdRoyal Oak, MI 48073-6220
Authorized official
Koby Conrad
President
3137510022
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