| NPI | 1588274401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUNDRA COX Owner 313-208-1635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |