| NPI | 1578702205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIO J BERRIOS-ANTUNA Owner 313-574-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301088825) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2015-12-21 |