| NPI | 1689924565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADOU NDIAYE Nursing Director 586-218-8570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MI as630312762) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |