| NPI | 1598719395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMIE PEARL CLAYTON President/CEO 248-858-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 630016) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-09-17 |