| NPI | 1306504931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ROSE STEVENS Revenue Cycle Coordinator 989-953-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |