| NPI | 1457879306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMA AHMED Physician 313-643-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 062935) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |