| NPI | 1386705804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT C. SMITHERMAN President & CEO 313-966-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-01-20 |