| NPI | 1336661156 |
|---|---|
| Other Name | WOODWARD |
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN DANIELS CEO 313-309-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2023-12-12 |