| NPI | 1184054892 |
|---|---|
| Doing Business As | GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE |
| Entity Type | Organization |
| Authorized Contact | LISA GALONSKA Interum President 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2016-09-19 |