| NPI | 1124325774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LABIB CEO/Administrator 248-629-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 5501011866) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2020-06-11 |