NPI | 1326763079 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD R MONTRIEF CFO 734-926-4935 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-10-05 |
Last Update Date | 2022-10-05 |