| NPI | 1053592089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY BREAKIE Health Director 906-248-8327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MI 231839) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2022-06-09 |