| NPI | 1790098069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S PIEH CEO 734-717-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 4301083312) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |