| NPI | 1205515822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL B WEVER Director Of Health Services 231-398-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |