| NPI | 1942300884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY JEROME VERVAEKE CEO 586-775-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301044898) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-02-06 |