| NPI | 1356549679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELL DENELL HARPER-SHELTON Operations Manager 810-422-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301053372) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2011-01-26 |