| NPI | 1659145506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG NAMAN Manager 248-336-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-12-05 |