| NPI | 1134491202 |
|---|---|
| Doing Business As | GREAT LAKES BAY HEALTH CENTERS INTEGRATED CARE SHIAWASSEE |
| Entity Type | Organization |
| Authorized Contact | LISA M GALONSKA Vice President 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2016-12-19 |