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 |