NPI | 1265902753 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER S CHANG President / CEO 269-965-8866 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-28 |