NPI | 1902667421 |
---|---|
Doing Business As | FAMILY MEDICAL CENTER-CUSTER ELEMENTARY BLD 2 |
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 | 2024-01-22 |
Last Update Date | 2024-01-22 |