| NPI | 1669906046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARJEEL KHAN CEO 248-444-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 251S00000X Community/Behavioral Health | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-05-03 |