| NPI | 1760003941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FLOOD Owner 313-401-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |