| 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 |