| NPI | 1619298221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAL ABDUL-HUSSEIN Medical Director 248-470-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301086669) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |