| NPI | 1396137154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA MORROW Authorizing Member/President 313-202-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 4704233577) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |