| NPI | 1346832193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAOUD A FARAJ Owner 313-908-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-09-06 |