| NPI | 1902151723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR A LINARES Owner 313-274-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI OL045607) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |