| NPI | 1649820986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA R ATKINS CEO 313-561-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |