| NPI | 1669195806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA WRIGHT Office Manager 586-855-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-02-02 |