| NPI | 1831113414 |
|---|---|
| Doing Business As | IDA FAMILY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | LAYTH MAOLOOD Physician 734-322-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301068044) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-02-05 |