| NPI | 1033106059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN AWERBUCH Medical Director 586-773-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: MI GA4052276) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |