| NPI | 1891524443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI HAZIMEH Owner 313-415-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2025-08-25 |