| NPI | 1558481218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE AGBOR ARREY-MENSAH Member 248-304-8904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301069914) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |