NPI | 1275003766 |
---|---|
Other Name | GREAT LAKES BAY HEALTH CENTERS WASHINGTON ELEMENTARY |
Entity Type | Organization |
Authorized Contact | LISA GALONSKA Vice President 989-759-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-11-28 |
Last Update Date | 2019-01-08 |