NPI | 1346591336 |
---|---|
Doing Business As | CHILDREN MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | JOSEPH W FERGUSON Executive Director 313-416-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2012-10-01 |