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 |