| NPI | 1508202243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE LATONYA CLAIBORUE Physician 248-968-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 43010066401) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |