| NPI | 1992527493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MO MAZLOUM Business Manager 313-509-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-11-22 |