| NPI | 1356510085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOUREDIN ALEBOUYEH Resident 313-974-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MI 4301090867) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301090867) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |