| NPI | 1972757193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVETIEN ROGERS CEO 313-914-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 699577) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2009-04-29 |