| NPI | 1306262258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI BRITTON CEO 231-947-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101009504) |
| 207R00000X Internal Medicine (Licence: MI 4301088741) | |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2024-03-08 |