| NPI | 1235540501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PAYNE Executive Director 231-876-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MI 23D0996622) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |