| NPI | 1366552804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANETA ASSAF Director Of Finance 313-846-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-04-21 |