| NPI | 1881201879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMELA OXFORD PETERSON CEO 248-486-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-10-23 |