| NPI | 1245502673 |
|---|---|
| Former Legal Business Name | COMMUNITY CLINICS OF MANITOWOC COUNTY |
| Entity Type | Organization |
| Authorized Contact | MICHELE M SCHMITT Program Director 920-686-2333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2014-10-03 |