| NPI | 1710980586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEDEAN CHAMPINE Operations Manager 810-230-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI EC023744) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-07-25 |