NPI | 1265264899 |
---|---|
Doing Business As | GREAT LAKES BAY HEALTH CENTERS SAGINAW UNITED HIGH SCHOOL |
Entity Type | Organization |
Authorized Contact | DAWN M CHRISTIAN Provider Enrollment Coordinator 989-759-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-08-14 |
Last Update Date | 2024-08-14 |