| NPI | 1013732585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMANI MICHELLE CUNNINGHAM Founder 586-525-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |