| NPI | 1881033686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS ZIMMER Community Access And Liaison Manage 248-918-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801088896) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |