| NPI | 1447764972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC N COFFMAN President 313-402-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 5101007287) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2025-01-09 |