| NPI | 1447883053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA CHRISTINA MOLASKI Business Owner 810-354-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-03-05 |