NPI | 1700607405 |
---|---|
Entity Type | Organization |
Authorized Contact | FARHAN BHATTI CEO 517-887-5922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
122300000X Dentist | |
152W00000X Optometrist | |
207Q00000X Family Medicine | |
Enumeration Date | 2024-10-24 |
Last Update Date | 2024-10-30 |