| NPI | 1548325186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY JEROME VERVAEKE CEO 586-775-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301044898) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-08-18 |