| NPI | 1912259086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED LARKINS Chief Executive Officer 734-850-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2013-03-25 |