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 |