| NPI | 1619067527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SIMS Medical Director 313-895-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101005314) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |