| NPI | 1710111075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ELLIOTT Chief Operating Officer 734-747-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |