| NPI | 1104076595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSANDRA HILL Manager 313-255-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 036972) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |