| NPI | 1114326170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED LARKINS CEO 734-850-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MI 0000) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2020-12-01 |