| NPI | 1932579265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANZONI NEUMANN ASABIGI VP 313-324-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI SA0823227) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-04-29 |