| NPI | 1508205329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER ABDURRAHMAN HURAIBI Medical Director 313-254-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2021-02-04 |