| NPI | 1588380844 |
|---|---|
| Doing Business As | CHASS WOODWARD |
| Entity Type | Organization |
| Authorized Contact | FELIX MARIO VALBUENA CEO 313-849-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-08-08 |