| NPI | 1528342441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIA MARIE TOCCO Owner Of LLC 248-802-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 2301009839) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2012-02-08 |