| NPI | 1013114552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ERVING DRAKE President Owner 269-687-9607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301034140) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |