| 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 |