| NPI | 1255798401 |
|---|---|
| Doing Business As | FBC DETROIT, LLC |
| Entity Type | Organization |
| Authorized Contact | TOMEKA LISCOMBE Executive Director 248-445-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |