| NPI | 1740841451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE GREENE President 248-301-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-01-29 |