| NPI | 1174949036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI WAIS Pharmacist 313-982-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MI 5302027891) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |