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 |