| NPI | 1366740342 |
|---|---|
| Other Name | JACKSON HIGH TEEN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MOLLY KASER CEO 517-748-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041S0200X Social Worker School | |
| 122300000X Dentist | |
| 1223G0001X Dentist General Practice | |
| 124Q00000X Dental Hygienist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2022-02-10 |