| NPI | 1871638890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGNESWAR SAHA Director 313-865-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 5101006682) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |