| NPI | 1629101829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCCLEES Executive Director 517-784-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 380098) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-03-22 |