NPI | 1568931897 |
---|---|
Entity Type | Organization |
Authorized Contact | RAFID Y MANSOUR Physician/Medical Director 248-559-2280 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2018-11-15 |
Last Update Date | 2020-07-05 |