| NPI | 1609074665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZ RAHMAN Executive Director 313-792-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301080612) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-04-09 |