| NPI | 1336986165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ELIZABETH ESTEVA SLACK Owner/Controller 734-255-6706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-09-27 |