NPI | 1720482128 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN WOOD CEO 586-619-9986 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2018-07-17 |