| NPI | 1700181211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY TOROSIAN Sole Proprietor 586-774-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 6301009014) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |