| NPI | 1225252422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SPENCER Executive Director 989-358-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2019-05-23 |