| NPI | 1417348129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON L GREEN Owner 313-929-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |