NPI | 1588979686 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN AGBEBIYI CEO 248-275-3180 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MI 4301041053) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 4301041053) |
208D00000X General Practice (Licence: MI 4301041053) | |
207V00000X Obstetrics & Gynecology (Licence: MI 4301041053) | |
Enumeration Date | 2010-08-12 |
Last Update Date | 2011-04-24 |