| NPI | 1265749683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WOOD CEO 586-619-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2020-07-07 |