| NPI | 1386624278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE R. PIERCE CEO 810-406-4950 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2022-07-21 |