Graduated: 2015
NPI: 1548643331
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC
5635 W FORT ST
DETROIT, MI 482093154
3138493920
Source: CMS National Downloadable File, September 2026.