| NPI | 1871052225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL GUSHO Regional Chief Financial Officer 248-858-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |