NPI | 1326716804 |
---|---|
Entity Type | Organization |
Authorized Contact | THIERRY DESIR DESIRE Co Owner 313-720-4254 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2021-08-31 |
Last Update Date | 2021-08-31 |