| NPI | 1053705269 |
|---|---|
| Doing Business As | WESTERN WAYNE SOUTHWEST CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA R ATKINS CEO 734-941-4991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |