| NPI | 1821261116 |
|---|---|
| Former Legal Business Name | OPHS |
| Entity Type | Organization |
| Authorized Contact | LASHANEA RENEE FLAGG Medical Billing Manager 248-322-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2023-03-07 |