| NPI | 1033240163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORBERTO ALLENDE President 313-841-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MI 4301061931) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |