| NPI | 1710201470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN L CARDONA Medical Doctor 248-996-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MI 4301086699) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |