| NPI | 1881648905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE MARIE HILL CEO 313-931-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |