| NPI | 1174632087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST A MULLEN President 313-893-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 4301081357) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-12-01 |