| NPI | 1902348030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECELIA MCDONALD CEO 313-224-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |