| NPI | 1144462409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RENEE TIBBS President 313-862-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MI 172V00000X) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |