| NPI | 1982881025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMITABH PAHARIA Owner 313-369-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2013-09-04 |