| NPI | 1093134348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JACKSON-HAMMOND President 313-831-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301046737) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |