| NPI | 1811128176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO HABER Director 734-462-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |