| NPI | 1063857100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS LENA WINCHESTER Director Of Operations 248-595-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |