| NPI | 1871043000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL MHANNA Owner 313-581-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301069195) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-11-01 |