| NPI | 1649681503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIET ALEXANDER President 734-243-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MI 1952597544) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |