| NPI | 1043371982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE B BRAGG Health Officer 517-887-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |