| NPI | 1477141356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L. ZUNIGA CEO 734-499-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2022-08-09 |