| NPI | 1700411741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD SAYFE ALMADRAHI Owner/Manager 313-582-5931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2021-02-01 |