| NPI | 1205538584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOHN RION Executive Director 734-971-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |