| NPI | 1104280304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULEEENA ELIZABETH SINGH President 734-635-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME126045) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-08-02 |