| NPI | 1124226428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ROBY President, CEO 313-874-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 793834) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2014-08-18 |