| NPI | 1013216019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA HASKINS Clinical Director 586-416-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 6401012357) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |