| NPI | 1790380293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL MUNTASER KAZ KAZ Organizer 248-836-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |