| NPI | 1710769757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED LARKINS CEO 734-850-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |