| NPI | 1821360363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHAPMAN President/CEO 313-530-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301076878) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |