| NPI | 1316207871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MONET MOULTON-LEVY Physician/Owner 734-241-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-11-30 |