| NPI | 1003857566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE RITTER Medical Director/CEO 248-855-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI MR070661) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-01-22 |