| NPI | 1114420353 |
|---|---|
| Doing Business As | THE WELLNESS PLAN-KEYS GRACE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHERRI ATWATER Compliance And Credentialing 313-202-8500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2019-07-30 |