| NPI | 1881456606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON STOCK VP Of Clinical Operations 586-864-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |