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 |