NPI | 1588137376 |
---|---|
Doing Business As | DR. PETER SLAUGHTER HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MAHIPAL RAO KAKARALA Sr VP & CFO 313-821-2591 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-01-04 |
Last Update Date | 2019-01-04 |