| NPI | 1396793790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LANGE Executive Director 810-603-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI Pending) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-02-02 |