| NPI | 1760426100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNOCENT AGBASSI Medical Director/CEO 248-889-9282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MI IA075373) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |