| NPI | 1083294052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI IBRAHIM NASRALLAH President 313-914-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-12-05 |