| NPI | 1942239835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JAMES LEWIS President 313-920-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 6301002406) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2013-01-07 |