| NPI | 1033634688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL HOLMBERG Owner 517-927-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MI 2301010040) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-02-09 |