| NPI | 1538915335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA A FRANK Revenue Cycle Manager 313-635-4213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-07-11 |