| NPI | 1780015420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRYANT CEO 248-809-9583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MI 2488099593) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |