| NPI | 1053175794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL J TELLEZ FLORES Managing Member 313-704-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-09-21 |