| NPI | 1942646435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA THERESE PRISTER Administrator 313-582-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2026-04-21 |