| NPI | 1841081908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CARTER Owner 313-646-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |