| NPI | 1740902980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HARMON Director 313-894-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-20 |