| NPI | 1467403089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT Chief Operating Officer 734-747-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-06-07 |