| NPI | 1932459468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L ROMAN Owner 248-908-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |