| NPI | 1366921025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WILLIAMSON Billing Mamager 313-390-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-04-23 |