| NPI | 1770284564 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KAREN WOOD C.E.O. 586-619-9986  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2023-03-17 | 
| Last Update Date | 2023-03-17 |