NPI | 1760462253 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN P. LOKAR Medical Director 586-469-5512 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 4301052675) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2006-01-19 |
Last Update Date | 2023-10-02 |