| NPI | 1700189206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY MARY DUNWOODIE President 269-208-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA CHIR009226) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MI 2301006871) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2014-02-21 |