| NPI | 1275768764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE TAYLOR Owner 313-433-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4704220247) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |