| NPI | 1063184174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED LARKINS CEO 734-850-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |