| NPI | 1154590917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE GRANT Health Services Supervisor 231-723-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MI 23-1870) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2016-03-22 |