| NPI | 1245923325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYSSARA JUBORI Owner 313-550-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-04-30 |