| NPI | 1235208075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI MAE BRITTON Chief Executive Officer 231-947-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MI 5601004803) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-03-08 |