| NPI | 1568353464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY P AYRES Owner 734-255-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |