| NPI | 1205363207 |
|---|---|
| Other Name | PONTIAC MIDDLE SCHOOL-TEEN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA BRINSON CEO 517-281-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |