| NPI | 1790886372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE C DOWNS JONES Authorized Official 172-734-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 336816) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-09-12 |