| NPI | 1740447481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVINA COVACHA ROSAL Clinical Director 248-240-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301034721) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |