| NPI | 1134652498 |
|---|---|
| Doing Business As | GREAT LAKES BAY HEALTH CENTERS U OF M |
| Entity Type | Organization |
| Authorized Contact | DAWN CHRISTIAN Provider Enrollment 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |