| NPI | 1699342394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CEBALT Lead Enrollment Specialist 313-874-6764 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |