| NPI | 1033588082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORETHEA ELLISON Office Manager 248-792-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 5501014024) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |