| NPI | 1861861965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA JAMIL Pharmacist 248-807-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MI 5302041048) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |