| NPI | 1508218421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS LENA WINCHESTER C.E.O. 248-595-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |