| NPI | 1336409192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS K. FREE President/Member 810-479-4769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301093347) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |