| NPI | 1811376247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIAN YOUNG Owner 734-444-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MI 7501000111) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |