| NPI | 1285485698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M RALKO Nurse Practitioner 313-629-1552 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |