| NPI | 1497212518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE PATTERSON Owner 248-820-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 175F00000X Naturopath |
| 251F00000X Home Infusion | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |