| NPI | 1558538132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID O WASHINGTON Owner 313-452-0384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301062062) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |