Organization · NPI-2

262 Center LLC

Clinic/Center · Southfield, MI

NPI number1912628397
StatusActive
Last updated in NPPESSep 6, 2022

Details

NPI
1912628397
Entity type
Organization (NPI-2)
Legal business name
262 Center LLC
Organization subpart
No
Enumeration date
Sep 6, 2022
Certification date
Sep 6, 2022
Last updated
Sep 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

26206 W 12 Mile Rd Ste 200
Southfield, MI 48034-8500

Phone 313-344-0663

Mailing address

Po Box 2705
Southfield, MI 48037-2705

Authorized official

Bachu Abraham
Member
3133440663

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