| NPI | 1891109641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHOLAK Owner 248-327-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251E00000X Home Health (Licence: MI 05804G) |
| 251E00000X Home Health | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2016-12-09 |