| NPI | 1538198700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. ATHENS President 734-782-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MI 5101011454) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2016-04-07 |