| NPI | 1013066380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LUKE JORDAN President 313-579-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI WJ048252) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI BT042967) |
| 174400000X Specialist (Licence: MI SF046607) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-01-25 |