| NPI | 1669759668 |
|---|---|
| Doing Business As | DETROIT EAST HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | RADWAN KHOURY Group Head 313-331-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 1223G0001X Dentist, General Practice | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2015-07-30 |