| NPI | 1255768529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RAUTIO Financial Manager 906-346-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |