| NPI | 1457893430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHALAI ARIVOLI Director 517-924-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301077145) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2021-09-17 |