| NPI | 1205012556 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRIGITTE NGOYI Medical Doctor 586-777-2550  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI bn407585)  | 
| Enumeration Date | 2008-01-17 | 
| Last Update Date | 2023-09-07 |