| NPI | 1538930458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIAN BALLARD Community Health Worker 734-252-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-03-21 |