| NPI | 1124650338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA MITCHELL Office Manager 586-690-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |