| NPI | 1851870653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA AQUINTO Practice Administrator 734-930-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-07-19 |