| NPI | 1407325137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMZA OSTO Owner/President 248-686-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |