| NPI | 1578505129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KATHLEENE MOTLEY President 248-552-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301407599) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-12-18 |