| NPI | 1679856561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER M DE GUZMAN Medical Director 248-436-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 5315019881) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-11-17 |