| NPI | 1679195721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CROLEY CFO 734-850-6915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |