| NPI | 1598208571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GIACALONE Chief Medical Officer 810-406-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MI 4703088311) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2021-01-08 |