| NPI | 1720371495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE JEAN MCCLOSKEY CEO/President 734-756-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MI 832566) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |