| NPI | 1811130768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHLEEN KNEISER President 586-443-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301051497) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |