| NPI | 1427426402 |
|---|---|
| Doing Business As | WILLOW ICHD |
| Entity Type | Organization |
| Authorized Contact | ADENIKE TOLULUPE SHOYINKA Credentialing & Enrollment COO Rdina 517-887-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2025-10-15 |