| NPI | 1770520553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D MITCHELL CEO 313-831-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |