| NPI | 1164847984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DENA HENDON-ACTON Owner 517-242-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 2301010175) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |