| NPI | 1144645250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI MAE BRITTON Chief Executive Officer 231-947-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2024-03-12 |