| NPI | 1568588713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CASALOU President & CEO 734-712-3792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 1081) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-01-14 |