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