| NPI | 1801910674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE JEAN-LOUIS Medical Director 313-867-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 821624) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |