| NPI | 1558792937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA GRIEBEL CHAVEZ CFO 313-554-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2023-11-01 |