| NPI | 1477991545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWAD AGHA Md 248-268-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: 4301076703) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2014-08-29 |