| NPI | 1053574236 |
|---|---|
| Doing Business As | DR FELETA WILSON HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MAHIPAL RAO KAKARALA Sr VP/CFO 313-821-2591 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2013-04-26 |