Organization
CHARTER COUNTY OF WAYNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOUHANAD HAMMAMI (CHIEF OF HEALTH OPERATIONS)
(313) 224-0810
Entity
Organization
Contact information
Practice address
11447 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3040
(313) 365-1362
Mailing address
500 GRISWOLD ST, DETROIT, MI 48226-3480
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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