NPI | 1659151025 |
---|---|
Doing Business As | CHASS SBSS CCA |
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 | 2023-10-03 |
Last Update Date | 2024-08-08 |