| NPI | 1265591812 |
|---|---|
| Former Legal Business Name | SOUTH MONROE COUNTY-CITIZENS' HEALTH COUNCIL, INC |
| Entity Type | Organization |
| Authorized Contact | ED LARKINS Chief Executive Officer 734-850-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-09-22 |