| NPI | 1760803951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONIFACE A TUBIE CEO/President/Medical Director 248-914-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2013-12-15 |