| NPI | 1023294782 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CASSANDRA M KLYMAN President 248-335-7194  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 1403025565)  | 
| Enumeration Date | 2008-01-12 | 
| Last Update Date | 2008-01-12 |