| NPI | 1073661484 |
|---|---|
| Doing Business As | CHC PEDIATRIC AND ADOLESCENT CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDALL (RANDY) DEGROOT CEO 517-279-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-09-07 |